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Street Address
Address Line 2
City
State
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
ZIP Code
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I hereby authorize Rudirock, Inc d/b/a ShipVia to charge my credit card or bank account listed above for any fees associated with shipments made on my ShipGenies, LLC carrier accounts.
By signing this form, I authorize ShipVia to schedule regular charges to my credit card or bank account. A receipt for each payment will be provided to you and the charge will appear on your credit card or bank statement. ShipVia is an authorized merchant for processing payments for ShipGenies LLC.
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