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PAY AN INVOICE
TRANSACTION DETAILS
$
CARD DETAILS

TERMS AND CONDITIONS

I authorize the above named business to charge the credit card indicated in this authorization form according to the terms in this form and on the Leason Ellis website. This payment authorization is for the legal services described on the invoices issued by Leason Ellis, for the amount indicated above only, and is valid for one time use only. 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 form.