Credit Card Authorization

We require all customers to keep a valid credit card on file with us. This card will be charged for the full amount due if your account isn't paid by the 10th of the month. You will receive a notice prior to us charging your card, and a receipt afterwards.

I authorize that the following card may be charged for the full amount due to Barnes Performance Horses.

I also authorize this card to be used to for unpaid veterinarian services and show expenses.

Cardholders Name

Street Address

City

Phone Number

State

Zip

Card Type (VISA, MC, AMEX, DISC)

Card Number

Expiration

CVV Code

I hereby acknowledge that I have read and understand this credit card authorization form in its entirety

I declare that the info I’ve provided is accurate & complete

Digital Signature

Thanks for submitting!

BARNES PERFORMANCE HORSES LLC

Credit Card Authorization

Barnes Performance Horses LLC

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