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Social Concepts and Fubar.com Credit Card & PayPal Authorization Form

If you are asked to fill out a credit card authorization form, please do not be alarmed. We developed this form in cooperation with our merchant account and paypal to prevent fraud. The best way to explain is the analogy the paypal fraud department used when explaining it to me. What business can a person with a bag over their head spend over a hundred dollars without an Identification check. The process is simple and painless. 

 

You can fill out the form and email or FAX or screen grab and send back. We check the information and note in your account and you rock on with your bad self. 

 

Thanks 


Download Form Here or copy and paste the one below.

 

First of all we just want to say thank you for your support! We wouldn't be here without folks like you. Because we care about your security and the security of fubar, we request that you fill out the following transaction authorization form. Your purchases have exceeded $400. The information you provide will be checked against your billing information. Please enter your information accurately, so we can reinstate your purchasing as soon as possible. If you use both PAYPAL and/or multiple credit/debit cards. Please include information on all accounts.. MAKE SURE TO FILL OUT ALL QUESTIONS or your CCA will be rejected. This information is confidential and will only be used to confirm your identity with your banking institution. PLease FAX or EMAIL or Screen Grab the completed form to scrapper@fubar.com or FAX 650.261.9669

 

Thank you! Ryan a.k.a Scrapper www.fubar.com/scrapper

 

Date*

 

Fubar Account User ID (i.e. http//www.fubar.com/user/xxx)*

 

First and last name as it appears on the Credit Card and/or your Paypal ID* PAYPAL email address (If you don't use paypal leave blank)* 

 

Billing address registered with the card card or paypal account*

 

Phone number of the bank*

 

Phone number you have registered with the card*

 

Are you the primary cardholder?*

 

If NO, the primary card holder must co-sign.*

 

Best email to reach the card holder.*

 

I swear under penalty of perjury that all of the above information is true. I authorize all charges on my fubar account and any account that logs in from my log in ip. I take full financial responsibility for all transactions associated to my fubar account listed above. I understand that if I am deleted for viloating the terms of service, I am still responsible for the money I have spent on fubar.

 

YES - I authorize these charges. (please print full name)*

 

Please accept this as my official digital signature or sign and FAX. (Sign your type your name) Additional Comments? (If you have multiple cards or accounts, please explain here)

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