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 December 07, 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.
Visa Mastercard Discover American Express ACH
Account Holder Name
Account# [LAST 4]
DATE December 7, 2022
Leave this empty:
Your legal name
Your email address
If you have questions about the contents of this document, you can email the document owner.
Document Name: Letter of Authorization
Agree & Sign