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Credit Card Authorisation Form

Name of card holder

Type of credit card *

Type of account *

Rangtel account or order

Credit card number *

Date of Expiry *

I am authorizing Rangtel Inc to use my credit card in below condition


1. After end of billing due date Rangtel Inc can deduct due amount from my credit card

2. The client will be liable to pay cost of ATA device incase of damage/stolen/missing. In that case, Rangtel Inc can deduct $75.00 from my credit card