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Letter Service

Credit Card Authorization Form


Instructions:
1. Fill out this form on your computer screen and print it out
2. Sign where indicated
3. Submit by mail or in person
 Submit to:
University of California, Berkeley
Career Center, The Letter Service
2111 Bancroft Way, 2nd Floor
Berkeley, CA 94720-4350
Cardholder
Telephone
Email Address
I authorize a charge against my
credit card in the following amount 		$
Credit Card (choose one) MasterCard    Visa    Discover  
Card Number
Expiration Date
Billing Address
 
Signature:

_____________________________________________________________
 

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This page last updated 3/26/2007 (pn)