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 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. 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. 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, terms and conditions. Contracting Guest Name (Print)` Contracting Guest Signature Date
Credit Card Agreement. I understand that I can only use the credit card to make the above approved purchases. I further understand that if I do not return the credit card within 48 hours of being issued, I will be charged $25. Finally, I understand that I will be held financially liable by Residential Life for making any unauthorized purchases or for purchases made without returning a receipt to Residential Life. Credit Cards are available during office hours Monday - Friday between 8:00 A.M. - 4:30 P.M. Signature of Authorized Purchaser: Date: A member of the Minnesota State system and an Affirmative Action/Equal Opportunity University. This document is available in alternative format to individuals with disabilities by calling the Office of Residential Life at 507-389-1011 (V), 000-000-0000 or 711 (MRS/TTY).
Credit Card Agreement. To the extent Eligible Credit Card Receivables are included in the Formula Amount, (a) no material default or event of default, or act, condition or event which after notice or passage of time or both, would constitute a material default or event of default under any of the Credit Card Agreements governing any Eligible Credit Card Receivables has occurred and is continuing, and (b) each Borrower has complied in all material respects with all of the terms and conditions of the Credit Card Agreements governing Eligible Credit Card Receivables to the extent necessary for such Borrower to be entitled to receive all payments thereunder. 5.33.
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. 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...
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. How our Credit Card works Our credit card allows you to borrow money up to your credit limit and, using the credit advanced to you, to make payments at places that accept a credit card as a means of payment and to do certain banking transactions. In the rest of these terms we refer to: • ‘you’ and ‘your’ means the primary cardholder or (where appropriate) a supplementary card holder; • your credit card facility as your ‘Credit Facility’ • the total debit balance on your Account at any time as ‘your balance’; • the minimum payment you agree to make each month as ‘your Minimum Payment’; • the latest date each month by which you agree to make your Minimum Payment as your ‘Payment Date’; and • a transaction using your Credit Facility carried out with your Credit Card as a ‘Transaction’. Your Credit Limit Your credit limit will be for an amount determined following an assessment of your ability to repay the credit advanced based on the type of credit card applied for. We may require you to provide security for the card including but not limited to cash cover and/or a logbook. Monthly Account Statement Your Transactions, Balance, Minimum Payment, and Payment Date are shown in your monthly account statement, which is the official record of your account. You agree to let us know in writing and within 30 days after the date of the monthly account statement if you think anything may be incorrect. Credit Card Fees We will debit your Account: • with any fees which according to our tariff guide may be chargeable when you take the credit card • for subsequent annual service fees on the anniversary of your taking the credit card; • monthly in arrears; • with fees for any chargeable transactions. Credit Card Interest Subject to some exceptions, we do not charge you Interest on your transactions if you pay your whole balance stated in your monthly account statement by the payment date (the ‘Interest Free Period’). The exceptions are: • cash withdrawals; • funds transfers; and • if we allow you to go over your credit limit. If you do not pay within the Interest Free Period we charge Interest from the date of each transaction. Subject to the Interest Free Period, interest is charged on your balance daily at midnight, and is debited to your account monthly in arrears.
