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I authorize CSN dba Sierra Outsourcing Solutions to process the above payment of $. I also authorize CSN dba Sierra Outsourcing Solutions to store this information in compliance with payment processing regulations and to charge the card listed above for future payments in accordance with their terms. I understand that to make any changes to this authorization I must contact CSN dba Sierra Outsourcing Solutions prior to the payment date.

I authorize CSN dba Sierra Outsourcing Solutions to process the payments as outlined in the payment schedule. I also authorize CSN dba Sierra Outsourcing Solutions to store this information in compliance with payment processing regulations and to charge the card above for future payments in accordance with their terms. I understand that to make any changes to this authorization I must contact CSN dba Sierra Outsourcing Solutions prior to the payment date.

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