Looking for a custom "Credit Card" / "Chargeback" form

Looking for a custom "Credit Card" / "Chargeback" form

Closed - This job posting has been filled.

Job Description

Hello,

Recently my company has been dealing with "Fraudulent" chargebacks
from previous "web" & "marketing" clients.

We are looking to have an attorney or lawyer put together a "Credit" card form
to capture the following information:

Name/ Last Name -
Address -
Phone -
Email -
Facebook URL -
Copy of identification -

On the bottom of this form we would like some sort of legal disclaimer to prevent us from being hit with a charge backs, and if they (DO) we can charge
there credit card rite back.

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