Alabama > Secretary Of State > Uniform Commercial Code
On File Credit Card Set Up Slip - Alabama
| On File Credit Card Set Up 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 Uniform Commercial Code Division (334) 242-5231 Fax (334) 353-8269 Mailing Address Physical Address Post Office Box 5616 11 S. Union St. Ste. 200 Montgomery, Alabama 36103-5616 Montgomery, AL 36104 On File Credit Card Set Up Slip Contact Person:_________________________________ Card Type..: ______________________ (Visa, Mastercard, Discover, &American Express) Card Number: _______________________________ Exp Mo/Yr: ___ / ___ Card Holder: ______________________________________ Billing Address: ________________________________________ City/St/Zip: _________________, _____ _______-______ Name of Business/Individual you would like the card to be filed under: _______________________________________________________ Name of any outside Agent you would like to give authorization to in order for them to use this card (optional): _______________________________________________________ Signature of Card Holder: X______________________________ Date:____/____/_______ * *Each transaction will incur a 3% convenience fee.**
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