CHARGE CARD AUTHORIZATION CHARGE CARD AUTHORIZATION FORM Please provide VITAC with permission to accept and bill your charge card when services are rendered. Complete all fields, sign, date and return via fax or mail. If

First Page		Document Content
Date: 2016-01-12 14:12:02		CHARGE CARD AUTHORIZATION CHARGE CARD AUTHORIZATION FORM Please provide VITAC with permission to accept and bill your charge card when services are rendered. Complete all fields, sign, date and return via fax or mail. If Add to Reading List Source URL: www.vitac.com Download Document from Source Website File Size: 320,32 KB Share Document on Facebook