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Payment Summary:
Payment Date:
03/19/24
Payment Amount: $
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I authorize FitzGerald Morris Baker Firth, P.C. to charge my credit/debit card indicated in this web form, for noted amount on today's date. I understand that because this is an electronic transaction, these funds may be withdrawn from my account as soon as the above noted transaction date. I will not dispute merchant charging my credit/debit card, so long as the amount corresponds to the terms indicated in this web form. By clicking on the Process Payment button below, I agree to FitzGerald Morris Baker Firth, P.C. charging my card for the dollar amount specified. For questions on this form, please contact our firm office.
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