Shadow Media Group Authorization Form

Please complete the Credit Card Information section below and electronically sign the form. All requested information is required. Upon approval, Shadow Media Group will automatically bill your credit card for the amount indicated and your total charges will appear on your monthly credit card statement. You may cancel this automatic billing authorization at any time by contacting us, with no penalty. Shadow Media Group uses Intuit to process credit cards.

    Customer Information

    This is a required question
    This is a required question
    This is a required question

    Payment Information

    I authorize Shadow Media Group to automatically bill the card listed below as specified:
    This is a required question
    This is a required question
    This is a required question
    This is a required question

    Credit Card Information

    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question