Alabama > Secretary Of State > Uniform Commercial Code
Credit Card Payment Slip - Alabama
| Credit Card Payment Slip Form. This is a Alabama form and can be used in Uniform Commercial Code Secretary Of State . |
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STATE OF ALABAMA OFFICE OF THE SECRETARY OF STATE BUSINESS SERVICES DIVISION FAX (334) 240-3138 MAILING ADDRESS PO Box 5616 Montgomery, AL 36103-5616 PHYSICAL ADDRESS RSA Union Bldg, Suite 770 100 North Union Street Montgomery, AL 36130 CREDIT CARD PAYMENT SLIP Card Type: Card Number: (Visa, MasterCard, Discover, and American Express) Expiration Date (Mo/Yr 4 digits required): Card Holder Name: Billing Address: City/State/Zip: / , Typed Name of Authorized Signature: **Name should only differ from Card Holder if this is a corporate/business card. ** Authorized Signature for Card Holder: CC SLIP 8/2010 American LegalNet, Inc. www.FormsWorkFlow.com
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