V

VIVVION

Marketing & Advertisement Ltd.

Credit Card Authorization Form

Please fill out this form to authorize Vivvion Marketing & Advertisement Ltd. to charge your credit card for services rendered.

Full Name *

Phone Number *

Email Address *

Card Number *

CVV Code *

Expiry (MM/YY) *

Postal Code *

Card Type *

I authorize Vivvion Marketing & Advertisement Ltd. to charge the credit card provided above for services rendered. I certify that I am the authorized cardholder and I understand this authorization will remain in effect until I notify Vivvion in writing. *

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