<h2>CC Auth Form Test Page</h2>		
                            <h2>New CC Authorization Form</h2>
                        
                        Name(Required)
                                                    
                                                    First
                                                    
                                                    Last
                        Company Name Billing Address(Required)    
                                        
                                        Street Address
                                        
                                        Address 2 or PO Box
                                    
                                    City
                                        
                                        State / Province / Region
                                    
                                    ZIP / Postal Code
                                
                Primary Phone Number(Required)Alternate Phone NumberServices Requested(Required)
								
								Translation Services
								
								Audiovisual Services (Voice Over, Captioning, Subtitling, Transcription, Dubbing, etc.)
								
								Localization Services
								
								Remote Interpreting
								
								Onsite Interpreting
								
								Equipment Rental
								
								Consulting (Diversity, Equity &amp; Inclusion)
								
								American Sign Language Interpreting
							PO Number(Required) The PO Number is a 5-digit numerical code found on the subject title of the assignment information email.
Client Matter Number Payment Type(Required)
								
								Credit Card
								
								E-Check
							After submitting the form you will be redirected to a secure and encrypted page where you will be asked to input your credit card information.Total Amount(Required)<strong>Need a copy of our W-9?</strong><br /><a style="color:#3ab0db;font-weight:bold;" href="https://calinterpreting.com/wp-content/uploads/2019/05/CIT-W9-2019.pdf" target="_blank" rel="noreferrer noopener">Click here to download it</a>How did you hear about us? Addition CommentsTerms(Required)
								
								I Agree
							Client authorizes CIT to charge the credit card/account a one-time payment for the minimum deposit amount, plus a 3% credit card processing fee immediately after the completion of the assignment. If you would like to avoid the 3% credit card processing fee, please choose E-check for the payment option. 
          
            
            
            
            
            
            
            
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