Letter of Authorization

I , authorize The Medical Mandate Advisors D.B.A OSHA Resource Group to charge my Credit Card/ACH Bank Account indicated below for the subscription of OSHA Compliance Portal.

$/monthly starting on 07/25/2024. I understand that this is a value of a 12 month subscription. The rate above will auto renew 12 months from now, unless notification is provided in writing 30 days from cancelation. Should the OSHA Resource Group fail to provide services provided cancellations may take place at any time. There are no termination fees. Once billed and product delivered, You must cancel within 15 days prior to your billing date to avoid any future monthly charges. Any questions regarding billing should be directed to (800) 674-2584 or ops@osharesourcegroup.com

Please sign using a stylus, your mouse, or your finger below to authorize this contract. By electronically signing this document, you agree to the terms established above. After the document is signed, you can proceed to print it.

Client Information
Account Holder Name: Daniel Romero
Billing Email: gd.repairandservice@gmail.com
Phone #:
Billing Street Address & Building/Apt #:
Last 4 of CC#:
City: Leoti
State: KS
Zip: 67861
Cancelation Policy: 1
Billing Policy: 1

Signed by Daniel Romero on Thu Apr 27 2023 13:49:22 GMT-0500 (Central Daylight Time)
IP Address: