Epstein Index›Documents›EFTA02040453
💨IMPACT LEVEL 1 — MEH

Epstein File EFTA02040453: Submission and Madam (DS10)

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This document is a form submission instruction requesting a signature and date before faxing to a front office manager at 1-340-7754444. The form is designed to allow third-party expenses to be charged to a credit or debit card. The document contains standard procedural language for form processing and payment authorization.

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We ask you to please sign and date the form before **submission**. Please fax the completed form to FRONT OFFICE MANAGER at 1-340-7754444.
Excerpt 2
Dear Sir/**Madam**, This form has been created in order to allow you to have third party expenses charged to your credit/debit card.

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