Last updated: 1/28/2019
On File Credit Card Set Up Slip
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Description
State of Alabama Office of the Secretary of State Uniform Commercial Code Division (334)353-0203 Mailing Address Post Office Box 5616 Montgomery, Alabama 36103-5616 Physical Address Ste. Montgomery, AL 3610 On File Credit Card Set Up Slip Contact Person: Telephone: ( ) - Card Type..: (Visa, MasterCard, Discover, & American Express) Card Number: Expiration Date: // Billing Address: City/St/Zip: , - Name of Business/Individual you would like the card to be filed under: Name of any outside Agent you would like to give authorization to in order for them to use this card (optional): Signature of Card Holder: X Date: / / American LegalNet, Inc. www.FormsWorkFlow.com