By filling out this form you give authorization and consent to SLVEX to charge your credit card per the agreement you are executing with our agency. To cancel this authorization you must make a request by email with the subject “CREDIT CARD AUTHORIZATION”. Otherwise, the authorization remains. Chargebacks will be fined $250.00 USD plus 10% of the chargeback amount. By submitting your information below, you agree to authorize SLVEX to charge your credit card to the terms agreed upon.