Professional Window Cleaning Credit Card Payment

Professional Window Cleaning Inc.

1835 E 6th Street, Suite 11

Tempe, AZ 85281

www.GetMyWindowsClean.com

(480) 839-1707

Please fill out the credit card information and amount you authorize to pay.

Name on Credit Card *

Billing Address *

Service Address

(If Different)

Billing zip code *

Amount to be paid *

Invoice #

(That's OK if you don't have your invoice number)

Type of card *

Card Number *

Expiration Date *

Security code *

Do you wish to authorize your credit card information for automatic recurring billing with Prestige Window Cleaning, Inc? *

Email Address For Paid Invoice *

Phone Number

Any additional information you wish to communicate.

YOUR INFORMATION IS VALUABLE AND WE KEEP IT SAFELY SECURED

Charges will appear as Prestige Window Cleaning Inc.

By submitting this secured form, you are authorizing Prestige Window Cleaning, Inc to automatically bill the card listed above for services rendered in my name above. Your total charges will appear on your mohnthly credit card statement. You may cancel this automatic billing authorization at any time by contacting our office at

Professional Window Cleaning

1706 E Curry Rd

Tempe, AZ 85281

(480) 839-1707

By signing below, I accept the terms and conditions of setting up automatic recurring payment as well as one-time only payments. I have indicated above if I want this card set up for automatic recurring payment or single payment only.

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