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PURSUE, OVERTAKE & RECOVER SERVICES, INC

4910 14th street West Suite 206 Bradenton FL 34207

YOUR SIGNATURE ON PAYMENT AUTHORIZATION FORM DENOTES ACCEPTANCE OF ALL PAYMENT POLICY TERMS:
Personal Checks

Make payable to: Pursue, Overtake & Recover Services Inc.

Money Order Cashier’s Checks

**Please Note - Return checks are subject to a $35.00 NSF fee**

Credit Card

For your convenience, we CAN use this authorization to charge your credit card account for services


IF PAYING BY CREDIT CARD, PLEASE COMPLETE THE FOLLOWING:
Charge to:
Visa/Mastercard has 3 digits on the back of the card

Phone: 941-567-6232 Fax: 941-896-3925 Spanish Line: 941-328-9801

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