Lifetime BSA Members Only

BSA In a Box

Consent Card

Please complete and sign your consent card below. This authorizes ClearVoice Services to communicate and act on your behalf as part of your BSA in a Box support.

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Before You Submit

This consent card is required for your BSA in a Box support to begin. By completing this form, you are authorizing ClearVoice Services (CVS) to work on your behalf. Please fill out all fields accurately and completely.

Authorization Required

BSA in a Box — Consent Card

Credit Card Authorization Form

This Card Will Remain on File and Will be Used for Recurring payments

Name on Card*

Billing Address*

I authorize Uniques Enterprises, the parent company of Clear Voice Services and BSA-IN-A-BOX, to charge my credit card for the authorized amount. I understand that my payment information may be securely saved on file and used for future authorized payments, balances, monthly fees, or transactions related to my account.

Enter your full legal name to confirm that you have read, understood, and agree to all the terms of this BSA-IN-A-BOX Credit Card Authorization Consent.

BSA in a Box

Exclusive to Lifetime BSA Members · Systems · Support · Scale