Secure E-Signature

AMZORA Recurring Payment Authorization

By completing and signing this form, you authorize AMZORA to charge your designated payment method on a recurring (daily) basis for services rendered. Please review every section carefully before signing.

1. Client Information

Optional contact details for this submission.

Full legal name

Business / DBA name

Phone

2. Billing Address

Optional billing address details.

Street address

Apt / Suite

City

State / Region

Postal code

Country

3. Payment Cards

Add one or more credit/debit cards. The first card is the primary; AMZORA may use additional cards as backups.

Payment details are stored securely by AMZORA for processing your recurring charges.

Primary card

Cardholder name *

Card number *

Exp month (MM) *

Exp year (YY) *

CVV *

4. Scope of Authorized Charges

Optional authorization details.

AMZORA flat per-order fee — $10.00 USD per order (all-inclusive: shipping, storage, prep, labels, returns, and all related fulfillment services)

Billing frequencyDaily — Required

Charges run on a daily cadence. This is required and cannot be changed. The daily charge equals AMZORA's flat $10.00 USD per order(all-inclusive: shipping, storage, prep, labels, returns, and all related fulfillment services) multiplied by the number of orders shipped that day. An itemized invoice will be sent to you for each daily charge.

Retry policy for failed transactions

Default: 3 retry attempts over 72 hours after a decline. If the payment method is not resolved within 72 hours, the account will be paused until updated.

5. Terms & Acknowledgments

Optional acknowledgments for the authorization record.

Recurring charges authorized

I authorize AMZORA to initiate recurring (daily) charges to the payment method(s) designated above for the services described in Section 4. If the primary card is declined or unavailable, I authorize AMZORA to attempt the charge on any backup card I have provided. This authorization will remain in effect until I revoke it in writing.

Flat per-order charge — $10.00 per order, daily

I understand AMZORA charges a flat all-inclusive rate of $10.00 USD per order, which covers shipping, storage, prep, labels, returns, and all related fulfillment services. The total daily charge equals $10.00 multiplied by the number of orders shipped that day, so the daily amount will vary by volume but the per-order rate is fixed. AMZORA will send me an itemized invoice for each daily charge.

24-hour decline / failed payment policy

If all of my cards are declined, expired, or otherwise stop working, I have 24 hours from the time of notice to update my payment method. If the issue is not resolved within 24 hours, AMZORA may pause my account until the matter is resolved. I will not hold AMZORA liable for service interruption resulting from a failed payment method on my side.

Cancellation, refunds & disputes

I may revoke this authorization at any time by emailing AMZORA with at least 3 business days' notice prior to the next scheduled charge. Refund and dispute requests are governed by AMZORA's Terms of Service. I agree to contact AMZORA before initiating a chargeback. I have read and agree to AMZORA's broader Terms & Conditions.

E-signature consent (ESIGN Act)

I agree to use an electronic signature for this authorization, and that my electronic signature has the same legal effect as a handwritten signature under the U.S. ESIGN Act and applicable state law. I confirm I am authorized to use the payment method(s) provided.

6. Signature

Optional signature for the authorization record.

Signature

Sign above using your mouse, finger, or stylus

Printed name

Date

AMZORA · Recurring Payment Authorization · Version 1.0
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