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 plan which will be bill at $/monthly. . 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 

 

Billing Information


Billing Address

 

 

Phone #  

Email:

 

Card/Account Details                


 

Account Holder Name  

Account/CC#    

 

 

DATE October 9, 2024

 

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Signature Certificate
Document name: Letter of Authorization
lock iconUnique Document ID: 9f0b3fb3c43b455e8840ef9e7449a1ee861bc2fc
Timestamp Audit
May 12, 2021 3:19 am PDTLetter of Authorization Uploaded by Rishawn Newman - admin@osharesourcegroup.com IP 174.78.0.138