Lead & List Authorization


Lead Order Details and Payment Authorization

JBW Business Consultants, LLC DBA Lead Tycoons 

424 E. Central Blvd # 309 Orlando, FL 32801 

 

LEAD ORDER DETAILS:

  

 
UPDATED PAYMENT AUTHORIZATION FORM

You authorize regularly scheduled charges to your Credit Card. A receipt for each payment will be provided to you and the charge will appear on your Credit Card Account Statement. 

You Acknowledge that you have Read & Agree to the Terms & Conditions of working with Lead Tycoons.

I authorize JBW Business Consultants, LLC DBA Lead Tycoons to charge my Credit Card below in the amount of (will vary) based upon different Lead Lists and Data Sets.  

 Look out for notifications from Authorize.Net for Transaction Details.  Always feel free to call us at 1-877-730-5323 if you have any issues receiving notifications or making payment(s).

Goods / Services To Be Provided: 

Custom Lead Lists and Data Services.  Orders will be recapped via Email on or before Distribution. 

Billing Address Phone # City, State, Zip

Email

Credit Card Information 

 

Cardholder's Name -

Credit Card Number -

Expiration Date -

 

 

Leave this empty:

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Signature Certificate
Document name: Lead & List Authorization
lock iconUnique Document ID: 1524005b72782d44b5dfa18477d04f8980b107ed
Timestamp Audit
June 12, 2024 12:43 pm EDTLead & List Authorization Uploaded by Jason Bishop - notifications@leadtycoons.com IP 97.104.153.173