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I authorize XPonent Group to charge the credit card indicated in this web form for the noted amount on today’s date. This payment is for the tax and accounting services performed by XPonent Group. I understand that this payment is being made in accordance with the agreement set forth in the Engagement Letter I have signed. I certify that I am an authorized user of this credit card and that I will not dispute the payment with my credit card company, so long as the transaction corresponds to the terms indicated in this web form.

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