| Credit Card Authorization Form |
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Date Customer Name Company Name Name on Card Billing Address
Payment Amount Cherry Capital Connection values your business and your time. In consideration of how busy our lives have become, we offer automatically credit card processing for monthly fees. Payment amount will be your monthly invoice in full. All transactions will be processed on the 1st or 1st business day of the month. Card Type (please circle one) Visa MasterCard Card Number Expiration Date CVV Signature Acceptance or Updates to automatically monthly billing by credit card will be accepted by returning this form to our office. Automatic Payment cancellation must be submitted in writing and must include customer name. Please allow up to 10 days for your payment options to be updated. Copies can be submitted in 3 ways. Send notice to our P.O. Box 866, Elk Rapids, MI 49629 Fax our office at 231-264-9945 Emailing billing@cherrycapitalconnection.com. |