Bank Authorization Form | Alpha Media Marketing

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Phone *

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I agree to terms & conditions provided by Alpha Media. By providing my phone number, I agree to receive text messages from the business. I grant Alpha Media Marketing LLC permission to charge the credit/debit card specified above according to the terms outlined in this authorization form or proposal. This payment authorization is for the services described in this proposal. I certify that I am an authorized user of this credit/debit card. I also understand that Alpha Media Marketing will use this credit/debit card to create my ad account for Facebook and Google on my behalf.