Credit Card Authorization AgreementCredit Card Authorization Agreement • August 20th, 2021
By my signature below I agree to pay according to the relevant card issuer agreement held by me. I hereby authorize The Codrington School, The International School of Barbados to retain my below signature on file and charge my card as indicated below.
Credit Card Authorization Agreement _Dianna CooperCredit Card Authorization Agreement • July 28th, 2017
Credit Card Authorization AgreementCredit Card Authorization Agreement • May 5th, 2020
and a confirmation number has been given. You must call the office with details to complete the booking. Thank you for reserving with Concorde Worldwide.
Credit Card Authorization AgreementCredit Card Authorization Agreement • April 7th, 2008
Addendum to Bond Agreement and Promissory Note: Collateral and Additional PremiumCredit Card Authorization Agreement • May 26th, 2020
PLEASE READ AND REVIEW THE FOLLOWING TERMS ON BOTH SIDES OF THIS DOCUMENT CAREFULLY AND MAKE SURE YOU UNDERSTAND THEM BEFORE SIGNING THIS AGREEMENT. ONCE SIGNED, THE TERMS BELOW WILL CONSTITUTE A BINDING CONTRACT BETWEEN YOU AND LEXINGTON NATIONAL INSURANCE CORPORATION (REFERRED TO HEREINAFTER AS “COMPANY”) AND
Credit Card Authorization AgreementCredit Card Authorization Agreement • April 22nd, 2019
By signing this agreement I am authorizing Envisions Counseling, LLC to bill my credit card, health savings account card, flexible insurance spending account card, checking account or debit card for all professional services rendered to me, my spouse or on behalf of my minor children or other family members. I acknowledge that I have read and agree to Section 7 located on the Informed Consent regarding session fees, debt collections and court proceedings. I agree not to dispute any charges which may include but are not limited to the following:
CREDIT CARD AUTHORIZATION AGREEMENTCredit Card Authorization Agreement • October 2nd, 2006
CREDIT CARD AUTHORIZATION AGREEMENTCredit Card Authorization Agreement • December 13th, 2022
To verify your credit card, please send a color photo of the completed, signed and dated Agreement below to verification@cherrygoldcasino.com and attach the following documents:
CREDIT CARD AUTHORIZATION AGREEMENTCredit Card Authorization Agreement • September 30th, 2022
CREDIT CARD AUTHORIZATION AGREEMENTCredit Card Authorization Agreement • March 19th, 2015
CREDIT CARD AUTHORIZATION AGREEMENTCredit Card Authorization Agreement • February 1st, 2022
Cardholder(s) Name: Company Name: Address: City, State, Zip Code: Phone #: E-mail Address: Type of Card: ☐ Visa ☐ Master Card ☐ American Express ☐ Discover ☐ Other
Credit Card Authorization Agreement __________________ _____ PLEASE READ AGREEMENT IN ITS ENTIRETY – COMPLETE ALL LINES Submitted by (Ricoh Personnel)Credit Card Authorization Agreement • April 29th, 2016
CREDIT CARD AUTHORIZATION AGREEMENTCredit Card Authorization Agreement • October 20th, 2020
Credit Card Authorization AgreementCredit Card Authorization Agreement • May 22nd, 2018
VISA MASTER CARD (circle one) indicated by the account number ending in for the following services: (last 4 numbers on the card)
CREDIT CARD AUTHORIZATION AGREEMENTCredit Card Authorization Agreement • August 19th, 2014
Addendum to Bond Agreement and Promissory Note: PremiumCredit Card Authorization Agreement • May 26th, 2020
PLEASE READ AND REVIEW THE FOLLOWING TERMS ON BOTH SIDES OF THIS DOCUMENT CAREFULLY AND MAKE SURE YOU UNDERSTAND THEM BEFORE SIGNING THIS AGREEMENT. ONCE SIGNED, THE TERMS BELOW WILL CONSTITUTE A BINDING CONTRACT BETWEEN YOU AND LEXINGTON NATIONAL INSURANCE CORPORATION (REFERRED TO HEREINAFTER AS “COMPANY”) AND
Credit Card Authorization AgreementCredit Card Authorization Agreement • December 6th, 2014
Please accept this as our authorization to automatically debit my credit card. The account to which the payments are to be applied is indicated below.
CREDIT CARD AUTHORIZATION AGREEMENTCredit Card Authorization Agreement • June 8th, 2011
Cardholder’s title if other than business owner: The undersigned hereby authorizes The Highest Heel Enterprises, LLC. to charge the above referenced credit card to satisfy payment due by business listed above.
CREDIT CARD AUTHORIZATION AGREEMENT Frauke C. Schaefer, MD, Inc. Patient Name (Print) ___________________________________________________________ Credit Card Type: Visa Mastercard Other ____________(I do not accept American Express) Card Holder’s name...Credit Card Authorization Agreement • December 17th, 2016
Credit Card Authorization AgreementCredit Card Authorization Agreement • May 1st, 2018
No reservation is considered to be confirmed or guaranteed until this authorization has been received and a confirmation number has been given. Please call back to follow up with our office. Thank you for reserving with Concorde Worldwide.
Credit Card Authorization Agreement Credit Card Authorization Agreement • May 21st, 2018
Credit Card Authorization AgreementCredit Card Authorization Agreement • September 8th, 2021
In circling Blanket Agreement, I agree to authorize that my credit card provided will be used to charge this present invoice and future transactions.
