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SwipeSimple Payment Authorization Form

I authorize to charge the agreed amount listed above to my credit card herein. I agree that I will pay for this purchase in accordance with my issuing bank cardholder agreement.

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Hours of Operation

Open 24/7

Shelby Locations

307 West Graham Street Suite 2

Shelby, N.C. 28150

Gastonia Locations

4127 Kings Mountain Highway

Bessemer City, NC 28016

905 Union Road

Gastonia, NC 28054