THIS FORM IS TO BE USED FOR AUTHORIZING ANUBIS TO BILL YOUR CREDIT / DEBIT CARD FOR A 1 TIME PAYMENT ON YOUR MOBILE MONTHLY PLAN.
 
 
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YOUR CARD WILL NOT BE BILLED UNTIL YOUR ORDER HAS BEEN PROCESSED. REFILL PINS WILL BE APPLIED DIRECTLY TO THE ACCOUNT PHONE NUMBER PROVIDED. PLEASE ALLOW 5 - 10 MINUTES FOR ORDERS TO BE FORWARDED AND PROCESSED.