Credit Card Agreement. This Agreement is made a part of Your Credit Card Agreement. Your Credit Card Agreement remains in full force and effect. If there is a conflict between this Agreement and Your Credit Card Agreement, this Agreement will control.
Credit Card Agreement. I am providing my credit card number as a guarantee of payment to Agent. I agree to pay all rent and charges related to property rental. I accept all terms of the Vacation Rental Lease Agreement and accept all liability for rent and charges related to property rental. I agree that I will not claim any charge backs or credits from my credit card company for any fees charged to my credit card, including but not limited to rental, or additional damage/cleaning fees. Additional fees may be charged for excessive cleaning, discarding excessive trash and/or cigarette butts, excessive cleaning of appliances, or any items needing professional cleaning. Guests are financially responsible for all damages and additional cleaning fees if necessary. INITIAL
Credit Card Agreement. I am providing my credit card number as a guarantee of payment to Agent. I agree to pay all rent and charges related to property rental. I accept all terms of the lease agreement and accept all liability for rent and charges related to property rental, as well as any damage beyond normal wear and tear during the term of my lease with Agent. I understand that these costs will be charged to my credit card. In the absence of another payment arrangement, I authorize Agent to charge my credit card for payment of these items. Agent may use any funds received from me upon Agent's receipt of such funds.
Credit Card Agreement. Guest must review, accept and initial the Credit Card Term below: I agree to provide my credit card number as a Guarantee of Payment to TRMC. I agree to pay all rent and charges related to property rental and accept all terms of the Reservation Agreement, all liability for rent and charges related to property rental, as well as any damages beyond normal wear and tear during the Reservation Agreement Term. I understand that these costs will be charged to my credit card on file. I authorize TRMC to charge my credit card for payment of these items. By signing this Reservation Agreement, I acknowledge that I have read, understood and fully agree to all of its policies and conditions. Guest Name (Print) Guest Signature Date
Credit Card Agreement. I am providing my credit card number as a guarantee of payment to Agent. I agree to pay all rent and charges related to property rental. I accept all terms of the lease agreement and accept all liability for rent and charges related to property rental. I agree that I will not claim any charge backs or credits from my credit card company for any fees charged to my credit card, including but not limited to rental, or additional damage/cleaning fees. Additional fees may be charged for excessive cleaning, discarding excessive trash and/or cigarette butts, excessive cleaning of appliances, or any items needing professional cleaning. Guests are financially responsible for all damages and additional cleaning fees if necessary. If you notice any problems upon check-in, please inform us immediately to avoid any damages being charged to your account. You agree to vacate the premises in clean condition and in as good of a condition as when entering. I understand that these costs will be charged to my credit card on file.
Credit Card Agreement. As of each Closing Date, Gottschalks has heretofore delivered to Buyer a true and complete copy of each form of Credit Card Agreement and any changes in terms or amendments thereto used in connection with the Program, which would be in effect as of the Cut-Off Time with respect to any Account.
Credit Card Agreement. Such Seller will timely and fully (i) perform and comply in all material respects with all provisions, covenants and other promises required to be observed by it under the Credit Card Agreement related to the Receivables, and (ii) comply in all material respects with the Credit Card Guidelines in regard to each Receivable and the related Credit Card Agreement. Such Seller will pay when due, any taxes (including, without limitation any sales taxes) payable in connection with the Receivables.
Credit Card Agreement. The parties' agreement with respect to certain provisions and/or changes to the Credit Card Agreement is set forth on Schedule 2.3.
Credit Card Agreement. Bon-Ton has heretofore delivered to Bank a true and complete copy of each form of Credit Card Agreement and any changes in terms or amendments thereto used in connection with the Credit Card Program Agreement, which would be in effect as of the Cut-Off Time with respect to any Account.
Credit Card Agreement. As you know, if you have ever checked into a hotel or rented a car, the first thing you are asked for is a credit card, which is imprinted and later used to pay your bill. This is an advantage for both you and the hotel or rental company, since it makes checkout easier, faster, cheaper than wasting stamps or writing checks, and more efficient. We have implemented a similar policy. You will be asked for a credit card number at the time that you check in, and the information will be held securely until your insurances have paid their portion and notified us of the amount that you are responsible for. You will still be billed in the usual fashion, and will have the option to pay as you usually do. If the balance owed to us, by you, has exceeded 30 days the remaining balance owed by you will be charged to your credit card. You will be notified by email or mail with a copy of the charge/ receipt of the payment. This will be an advantage to you, since you will no longer have to write out checks and waste money on postage. It will be an advantage to us as well, as it will greatly decrease the number of statements that we have to generate and send out. This combination will benefit everyone in helping keep the cost of your health care down. This in no way will compromise your ability to dispute the charge or question your insurance company’s determination of payment. You card information will be kept in your medical file, which is secured as required by Florida State Law. Copay, Coinsurance and deductibles will of course, still be collected at the time of the visit. If for any reason, it is not collected at the time of the visit the balance owed by you will be charged to your credit card. A copy of the charge/ receipt of the payment will be emailed or mailed to you If you have any questions about this change to our office procedure, please do not hesitate to ask. I authorize Bayshore Podiatry Center to charge the outstanding balances on my account to the following credit card information: Card Type Card Number Expiration Date Patient signature: Date: AUTHORIZATION FOR RELEASE OF PATIENT MEDICAL INFORMATION I, Date of Birth / / hereby request and authorize: XXXXXXXX XXXXXXXX CENTER (Xxxxxx X. Xxxxxxxxx, DPM; Xxxxxxx X. Xxxxxxxxx, DPM; Xxxxxxx X. Xxxxxxx, DPM), 000 X Xxxxxx Xxx, Xxxxx 000, Xxxxx, XX 00000 To release/ obtain my PHI (Protected Health Information) specified: All general medical records, or Limited records (specify by type of record or by date of servic...
