Please complete and Sign this form to authorized BostonAsapCoach to debit your credit card for a single transection. By signing this form, you authorizing BostonAsapCoach to debt your credit card for the amount indicated on or after the indicated date. Balance for this reservation is due in full before the event date. Additional services if requested must be paid in full in advance. Please see BostonAsapCoach cancellations, late changes and no show Policy published on bostonasapcoach.com under Terms & Condition →.
After submitting this Authorization Form, please send us the copies of front and back both for the Credit Card listed below and the Credit Card holder State issued Picture ID via email firstname.lastname@example.org or by fax: 617.500.9945
If you have questions or need further assistance please contact us via email email@example.com or by phone 800.960.0232.
Please Note: This Form will not be accepted without proper identification.
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