Authorization Agreement For Credit Card Charges

I authorize Automatic Funds Transfer Services, Inc. (AFTS) to charge the credit card account indicated below for the use of services at current published prices.

CREDIT CARD INFORMATION

Name on Credit Card:  ___________________________________________

Credit Card Number: ____________________________________________

Credit Card Type (Check One):               Expiration Date: _____ /______
     ___ VISA
     ___ MasterCard

Signature of Card Holder: ________________________  Date: _________ 

This authority is to remain in full force and effect until AFTS has received notification from me of its termination.

CUSTOMER INFORMATION

Company Name: ________________________________________________

Customer ID (if already assigned): ___________________

Customer Name (Please Print): ___________________________________

Title: _____________________________________

Phone: ______________________      FAX: ___________________________

INSTRUCTIONS:

1. Print this form directly from your internet browser.
2. Fill out this form completely and don't forget to sign it.
3. Mail this form to: MoveUpdate Support, 151 South Lander St. STE C, Seattle, WA 98134.  If you need immediate service, then you may FAX this form to us.   However, we will still need to receive the original copy in the mail.  You can reach us by FAX at: ATTENTION: MoveUpdate Support, FAX: (206) 254-0968.