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Account Information

Last four digits of SSN

Payment Information

First Name

Last Name

Card Number

Expiration Date

Security Code

Address 1

Address 2

City

State

Zip

Email Address

Mobile number

Payment ($)

You are agreeing to pay a Total of $0.00.

Confirmation

I authorize SHARK LAW OFFICES PLLC to process the above payment of $0.00. I also authorize SHARK LAW OFFICES PLLC 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 SHARK LAW OFFICES PLLC prior to the payment date.

You also agree that you have read and accept the Terms and Conditions for using this online payment portal to make a payment on your account with SHARK LAW OFFICES PLLC. Terms and Conditions are available for viewing at www.sharklawoffices.com/pay.

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