Address Line 1/City/State/ZipCode
Authorize Visual Media Group LLC to charge the following
items/invoices to my credit card. Applicable tax may not be included in the stated dollar amount.
These charges will be added if applicable. Being the cardholder or Corporate Officer,
by signing below I understand and agree to the terms set forth in this agreement, agree to pay,
and specifcally authorize to charge my credit card, for the services provided. I further agree that in
the event my credit card becomes invalid, I will provide a new valid credit card upon request,
to be charged for the payment of any outstanding balances owed.