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Please select the payment amount you are authorizing us to charge your credit card at the rate if $60 for a single issue or at the rate of 50 per month for 6 consecutive months: SelectAuto bill $50 per month with a 6 month contractAuto bill $75 per month with a 6 month contract for preferred placement$60.00, 1 issue$150.00, 3 issues$300.00, 6 issues$600.00, 12 issues$225.00, 3 issues, preferred placement$450.00, 6 issues, preferred placement$900.00, 12 issues, preferred placement
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Name of Cardholder
On behalf of my company or myself, I hereby reserve the coupon space(s) and issue date(s) indicated above and authorize South Lake Tahoe Coupons to charge the credit card indicated on this form.
I agree to accept full responsibility for any losses that might incur due to this publication.
The undersigned agrees to hold South Lake Tahoe Coupons harmless for any losses or liability that might occur due to this publication.
I understand that South Lake Tahoe Coupons does not make refunds.
I agree that my liability for this contract is not waived and I agree to be held personally liable in the event that the indicated person, company or association fails to pay any part or the full amount of these charges.
South Lake Tahoe Coupons Reserves the Right to Refuse Business to Anyone.
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South Lake Tahoe Coupons
PO Box 8530
South Lake Tahoe, CA 96158