PLEASE COMPLETE THE INFORMATION BELOW. I (full name) authorize Arlington Ridge Golf Club to charge my bank account indicated below by the 5th of each month for payment of my monthly billing statement.
PLEASE COMPLETE THE INFORMATION BELOW. NAME ENROLLMENT STATUS (circle one for each child):
PLEASE COMPLETE THE INFORMATION BELOW. I Xxxxxx Xxxxx authorize VStock Transfer, Inc. to charge my bank account (full name) indicated below on or after 9/27/16 (date) ID Type Number Country State/Province Billing Address Phone# City, State, Zip Email Name on Acct Bank Name Account Number Bank Routing # Bank City/State Card Type Visa Credit Card Number Expiration Date CVV Code 613 As an authorized representative of the above mentioned company, I hereby authorize VStock Transfer, LLC to maintain the above referenced credit card on file and to use such card for each transaction with VStock Transfer on behalf of the above referenced company unless otherwise instructed by the card holder. Signature Print Name Date CERTIFICATE OF APPOINTMENT OF VSTOCK TRANSFER, LLC AS TRANSFER AGENT AND REGISTRAR By StreamNet Inc. Nevada. corporation (the “Company”),
PLEASE COMPLETE THE INFORMATION BELOW. I ____________________________ authorize VStock Transfer, Inc. to charge my bank account (full name) indicated below on or after ___________________.
PLEASE COMPLETE THE INFORMATION BELOW. I _____________________________________ authorize Harts Events to immediately charge my credit account a date-hold deposit equal to half of my standard rental fee. This payment is for my event on ____________________________.
PLEASE COMPLETE THE INFORMATION BELOW. I authorize IP to immediately debit/charge the account provided below for the amount of the non‐refundable date‐hold deposit of $ . Date‐hold deposits are non‐refundable. This deposit payment is for the event described above.
PLEASE COMPLETE THE INFORMATION BELOW. I authorize Sierra Vista Wines, LLC to immediately charge my credit account a date- hold deposit of 50% of the costs associated with my event rental fee. I acknowledge date-hold deposits are non-refundable and if my event is within ten (10) days of the submission of this form, I acknowledge Sierra Vista Wines, LLC will be executing withdrawal of 100% of the costs associated with the venue booking. This payment is for my event on .
PLEASE COMPLETE THE INFORMATION BELOW. I authorize Studio 7200, LLC to immediately charge my credit
PLEASE COMPLETE THE INFORMATION BELOW. I authorize VStock Transfer, Inc. to charge my bank account (full name) indicated below on or after . (date) ID Type Number Country State/Province Billing Address Phone# City, State, Zip Email Account Type: ☐ Checking ☐ Savings Name on Acct Bank Name Account Number Bank Routing # Bank City/State Card Type Credit Card Number Expiration Date (xx/xx/xxxx) CVV Code (*what’s this?) As an authorized representative of the above mentioned company, I hereby authorize VStock Transfer, LLC to maintain the above referenced credit card on file and to use such card for each transaction with VStock Transfer on behalf of the above referenced company unless otherwise instructed by the card holder. Signature Print Name Date
PLEASE COMPLETE THE INFORMATION BELOW. The Old Post Office Museum and Art Center to immediately charge my credit account a date-hold deposit of $100 . This payment is for my event on
