Collect Payment -

TERMS

By providing your card information below, you authorize Your Personal Ninja to securely collect and temporarily handle your card details for manual entry into our payment gateway. Your information will be encrypted and stored securely during this period and will be handled in accordance with our Privacy Policy and PCI DSS standards. The CVV will be used solely for the purpose of the current transaction and will be securely deleted immediately after use. Additional Terms of Service may be seen at https://myaz.tech/tos

Charges on your card will reference PAYPAL*USTECHNINJA

Web Form - Collect Payment
First Name
Last Name
Phone
Email
What's this For?
Credit Card Number
CVV
Expiry Date
Additional Info
⚖️ PERSONAL GUARANTEE & TERMS ACCEPTANCE By submitting this request, I agree to the Terms of Service. If Client is a business or other legal entity, I also agree in my individual capacity to personally, absolutely, and unconditionally guarantee all Client obligations now existing or later arising, including past-due balances, invoices, recurring charges, contract balances, overages, and enforcement costs. This is an account-wide continuing Personal Guarantee, is not limited to this request, reaffirms any prior Personal Guarantee, and remains effective until released in writing under the Terms.
Agreement & Guarantee *	I agree to the Terms of Service and the account-wide Continuing Personal Guarantee above in my individual capacity
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