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on my credit card pursuant to the above Fee Agreement (unless revoked in writing) for legal services.

If, after payment by credit card, you later dispute the charge(s), unless prohibited by law, you agree not to cancel, revoke, charge back, or dispute any previously entered charge on your credit card. If you do so, and it is later determined that the charge was properly authorized, you agree to pay all out-of-pocket fees and costs incurred by Mark Yampaglia Law PC as a result of the improper cancellation, revocation, charge back, or dispute.

Thank you for your trust. I look forward to working with you.

s/Mark E. Yampaglia, Esq.
Attorney and Counselor at Law

As Authorized Agent of Client

Thank you. Please fax the completed form to 201.933.3664, or email to: myampaglia@yampaglia-law.com.