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OSHA Resource Group

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 ()
$ starting on August 17, 2022
. 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. 

 

Billing Information


Billing Address

 

 

Phone #  

Email:

 

Card/Account Details                


 

Account Holder Name  

Account# [LAST 4]   

 

 

DATE August 16, 2022

 

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Signature Certificate
Document name: Letter of Authorization
lock iconUnique Document ID: 4b859b72c3dc98548939ce46d4dd3131d7d6ccaa
Timestamp Audit
May 12, 2021 3:19 am PDTLetter of Authorization Uploaded by Rishawn Newman - admin@osharesourcegroup.com IP 24.253.61.228