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 December 07, 2022


Billing Information

Billing Address


Phone #  




Card/Account Details                


Account Holder Name  

Account# [LAST 4]   



DATE December 7, 2022

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Signature Certificate
Document name: Letter Of Authorization
lock iconUnique Document ID: a79469ae5d12bf6a618822d648a0ca419de619ef
Timestamp Audit
December 14, 2020 3:59 pm PSTLetter Of Authorization Uploaded by Rishawn Newman - admin@osharesourcegroup.com IP