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Landlord's Notice of Hearing for Possession of ... - Service Alberta

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Payment In<strong>for</strong>mation:<br />

This in<strong>for</strong>mation is kept secure and confidential.<br />

Credit Card In<strong>for</strong>mation:<br />

□ VISA<br />

□ Master Card<br />

Name appearing on Card:___________________________________<br />

Card Number:_____________________________________________<br />

Expiry Date:______________________________________________<br />

I, _________________________________ authorize the RTDRS to charge the $75.00 filing fee onto my credit<br />

card.<br />

________________________________________<br />

Cardholder’s Signature

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