Credit Card Authorization

Please complete all fields. You may cancel this authorization at any time by contacting us. This authorization will remain in effect until cancelled.
Name
First Last
Phone
Email
Last 4 numbers of authorized credit card:
Dollar amount to be charged monthly:
- I authorize ILM Marketing to charge the card referenced above monthly for the amount shown. I understand that my information will be saved on file for future transactions on my account and will be billed monthly. Should I decide to cancel services with ILM Marketing I will provide 30 days written notice sent by email to [email protected]
Signature

Please sign this authorization by typing your full name.

Locations

ILM Marketing
4707 Chamberlain Lane
Wilmington, NC 28409

(910) 547-6910