Inter Capital US

CC Authorization Form

I authorize Inter Capital US LLC, to charge my credit card above for agreed upon purchases. I understand that my information will be saved to file for future transactions on my account.

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Signed by Robert Ferra
Signed On: March 25, 2020

Signature Certificate
Document name: CC Authorization Form
lock iconUnique Document ID: 8e66289ef5fe80ca3aad9f3ab282e6e324a4bae6
Timestamp Audit
March 25, 2020 1:20 pm ESTCC Authorization Form Uploaded by Robert Ferra - IP