CREDIT CARD ON FILE. RENTER agrees to provide ISLAND VIEW with a valid credit card to be kept on file. This card will be charged if damage or additional RENTER charges that are agreed upon at rental time, the purchase of additional equipment, late fees and/or other incidentals. RENTER hereby irrevocably authorizes ISLAND VIEW to charge XXXXXX’s credit card on file for all the foregoing charges.
CREDIT CARD ON FILE. A credit card shall be stored on-file, and given authorization to be charged should payment-in-full for agreed upon services rendered by the Lodge not be received by the scheduled date. This includes payment for any damages incurred by the Customer and any parties associated with the Customer. As such, Customer agrees to complete the Credit Card Authorization form included in Addendum II as part of this agreement.Alcoholic Beverages. Customer’s Event Rental and Event Services Package Payments do not include payment for alcoholic beverages provided by The Lodge for consumption by Customer’s guests at the event. Pricing and payment for such alcoholic beverages shall be separately negotiated between The Lodge and Customer. The Lodge will only provide alcoholic beverages if Customer also agrees to utilize and pay for a bartender employed by the Lodge who will be the only person authorized to dispense alcoholic beverages at the event. Customer will not supply any other alcoholic beverages at the event and will not allow any other person to bring alcoholic beverages to the event. Customer will assist The Lodge’s bartender in preventing alcoholic beverages from being served to persons who are visibly intoxicated or who are not at least twenty-one years of age. No alcoholic beverages shall be carried outside the Event Space.
CREDIT CARD ON FILE. RENTER agrees that they will provide BIM with a valid credit card to be kept on file. This card will only be charged if damage or additional RENTER charges exceed the security deposit.
CREDIT CARD ON FILE. RENTER agrees to provide HUNGRY PELICAN LLC with a valid credit card to be kept on file. This card will be charged if damage or additional RENTER charges exceed the security deposit, for additional rental time, the purchase of additional equipment, late fees and/or other incidentals. RENTER hereby irrevocably authorizes HUNGRY PELICAN LLC to charge RENTER’s credit card on file for all the foregoing charges.
CREDIT CARD ON FILE. RENTER agrees to provide BEAR HOLLOW with a valid credit card to be kept on file. This card will be charged if damage or additional RENTER charges exceed the security deposit, for additional rental time, the purchase of additional equipment, late fees and/or other incidentals. RENTER hereby irrevocably authorizes BEAR HOLLOW to charge XXXXXX’s credit card on file for all the foregoing charges.
CREDIT CARD ON FILE. User will provide Campground with information for a valid credit card to keep on file. The credit card information will be used by Campground to initiate payment for Electrical use each month on or before the 5th of each month. Campground may also use the credit card to charge User for cleaning or repairing the RV Site, as outlined in Paragraph 10, above, or if User vacates the RV site without paying Campground the total amount due under this Agreement. If Campground uses the credit card information for the reasons described above, Campground will provide User a statement of account listing the charges at the address noted below. In the event of reversal and/or denial of legitimate charges by User, a fee of $100 plus attorney fees will be charged.
CREDIT CARD ON FILE. In an effort to reduce costs and unnecessary use of paper, we will be reducing the amount of statements we send out from our office in the mail. We may require a credit or debit card on file with our office. Statements are wasteful of paper, stamps, and envelopes and are not efficient. We need to ensure that we have a guarantee of payment on file in our office. Times are changing in healthcare, and we need to be sure that patient responsible balances are paid in a timely manner. We have to be fair and apply the policy to all patients. We have wonderful patients and we know that most of you pay your balances. Unfortunately, this is not the case every time. You will receive a letter in the mail from your Insurance carrier that explains how much of your office visit they pay and how much you pay. This is called an Explanation of Benefits, or EOB. This letter tells you exactly, according to your health insurance coverage, how much of your health care bill is your responsibility and how much is the responsibility of your insurance to pay. We receive the same letter that you do. It arrives about 20 – 30 days after your appointment. We look at each Explanation of Benefits (EOB) carefully, and determine what your insurance has determined as patient responsibility. This is the same way we normally determine how much to send you a bill for in the mail. We do not store your sensitive credit card information in our office. We store it in a secure fashion with a reputable financial firm called a gateway. We access your information only on this site to process a payment. You will be required to sign a credit card on file authorization statement that will allow us to charge an amount agreeable to each of us until your balance is paid in full. We will always work with you to understand if there has been a mistake, and we will refund you if we have made a billing error. We will only charge the amount that we are instructed to by your insurance carrier, in the letter they send to us and the amount that you have agreed to, in the same way that we normally determine how much to send you a bill for in the mail.
CREDIT CARD ON FILE. If paying by credit card, you hereby authorize Company to charge the credit card supplied for the payment of all Services and Fees. The credit card provided will be kept on file and will remain in effect until the expiration of the credit card account. Customer may revoke this authorization by submitting a written request to Company. Customer agrees to pay the cost for any returned or challenged payments. Audit. Customer shall establish and maintain a system that allows Company to readily identify the number of employees for the purposes of calculating the Fee. During the term of this Agreement, on request and during regular business hours, Company may inspect or have its representatives or an independent third party inspect and audit Customer's books, records, and other documents as necessary to verify compliance with the terms and conditions of this Agreement in general and specifically Section 4.1. Costs of any audits conducted under the authority of this right to audit will be borne by Company unless one of the following applies. If the audit identifies underbilling or undercharging in excess of one-half of one percent (.5%) of the total contract xxxxxxxx, the Customer shall reimburse Company for the total costs of the audit. If the audit discovers substantive findings related to fraud, misrepresentation, or non-performance, Company may recoup the costs of the audit work from Customer. Any adjustments and/or payments that must be made as a result of any such audit or inspection of the Customer’s records shall be made within a reasonable amount of time (not to exceed 30 days) from presentation of Company’s findings to Customer.
CREDIT CARD ON FILE. Agent is strongly advised to have a valid credit card account (MC/Visa) on file with SP to facilitate production/delivery of certain company and/or third-party services designed to promote & support Agent’s business. Having a credit card on file facilitates timely payment, which helps the company and is very much preferred and appreciated. It also helps avoid late fees being assessed to Agent. Agent credit card account info (or pre-payment) may be required by SP, at its sole discretion, for any expense items, including those listed on Addendum A (“Optional Agent Expenses”, such as office rent, Op-Time, etc.). Agent credit card information will, of course, be maintained in strict confidence.
CREDIT CARD ON FILE. Upon scheduling your first appointment you have the option to provide credit card information which will be kept on file to be used as a form of payment for fees incurred for co-pays, co-insurance, deductibles, late cancelations, missed appointments, returned checks, or past due account balances. A receipt will be e-mailed to you at the address you specify below at your request or by email Type of card (circle one): □Visa □ MasterCard □ American Express □ Discover Card # 16 Digits: - - - Expiration: Month (mm) Year (yy) Security code: Name on card: I authorize The Source Behavioral Health to charge this credit card as needed according to the terms specified in this Agreement and Policy. Signature: Date:
