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    Credit Card Authorization

    I hereby authorize Ripe VIP to use my credit card below for agreed upon purchases.
    I understand that my information will be saved on file for future requests and approved quotes on my account. Any applicable taxes and service fees will be applied.

    Cardholder Name:

    Company Name:

    Card Number:

    Expiration Date:

    Security Code:

    Billing Postal/Zip Code:

    Cardholder Signature: