Recurring Payment Information Sample Clauses

Recurring Payment Information. If choosing automatic payments, your credit card will automatically be charged for the items indicated below on the 10th day of the month fees are due (if the 10th falls on a weekend, your credit card will be processed on the next business day). Receipts will be emailed to the email address on file with our office. All charges will appear on your monthly credit card statement. This authorization will terminate upon your credit card’s expiration date or you may cancel this automatic billing at any time by contacting the WAAR office, 757-253-0028. 🞐 WMLS FEES ONLY - I wish to keep this credit card number on file for automatic payment of my WMLS service fees. 🞐 WAAR & WMLS FEES - I wish to keep this credit card number on file for automatic payment of ALL my WAAR & WMLS fees. Check one of the following boxes; If neither RPAC box is checked, your credit card payment for annual dues will include the requested voluntary RPAC contribution). 🞐 With RPAC Voluntary Contribution 🞐 Without RPAC Voluntary Contribution 🞐 Please do not keep the credit card number below on file for future use. Credit Cardholder Name: Credit Card Billing Address: Contact Phone Number: Email Address: Credit Card Type: 🞐 Visa 🞐MasterCard 🞐 Discover 🞐 American Express Credit Card #: Exp. Date: / NOTE: A new Payment Authorization Form will be needed on or before your credit card expiration date in order for automatic payments to continue.
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Recurring Payment Information. If choosing automatic payments, your credit card will automatically be charged for the items indicated below on the 10th day of the month fees are due (if the 10th falls on a weekend, your credit card will be processed on the next business day). Receipts will be emailed to the email address on file with our office. All charges will appear on your monthly credit card statement. This authorization will terminate upon your credit card’s expiration date or you may cancel this automatic billing at any time by contacting the WAAR office, 757-253-0028.  I wish to keep this credit card number on file for automatic payment of my WMLS service fees.  I wish to keep this credit card number on file for automatic payment of ALL my WAAR & WMLS fees. (If neither RPAC box is checked, your credit card payment for annual dues will include the requested voluntary RPAC contribution).  With RPAC Voluntary Contribution  Without RPAC Voluntary Contribution  Please do not keep the credit card number below on file for future use. Credit Cardholder Name: Credit Card Billing Address:
Sample 1
Recurring Payment Information. If choosing automatic payments, your credit card will automatically be charged for the items indicated below on the 10th day of the month fees are due (if the 10th falls on a weekend, your credit card will be processed on the next business day). Receipts will be emailed to the email address on file with our office. All charges will appear on your monthly credit card
Sample 1

Related to Recurring Payment Information

  • Payment Information 3.1 The Authority shall issue a purchase order to the Contractor prior to commencement of the Service.

  • Client Information (2) Protected Health Information in any form including without limitation, Electronic Protected Health Information or Unsecured Protected Health Information (herein “PHI”);

  • Event Information Number: 230504 Title: Information Technology, Equipment, Software, and Services Type: Request for Proposal Issue Date: 5/4/2023 Deadline: 5/25/2023 03:00 PM (CT) Notes: This is a solicitation issued by The Interlocal Purchasing System (TIPS), a department of Texas Region 8 Education Service Center. It is an Indefinite Delivery, Indefinite Quantity ("IDIQ") solicitation. It will result in contracts that provide, through adoption/"piggyback" an indefinite quantity of supplies/services, during a fixed period of time, to TIPS public entity and qualifying non-profit "TIPS Members" throughout the nation. Thus, there is no specific project or scope of work to review. Rather this solicitation is issued as a prospective award for utilization when any TIPS Member needs the goods or services offered during the life of the agreement. THIS IS NOT A REPLACEMENT CONTRACT. IF YOU CURRENTLY HOLD ANY TIPS CONTRACT TITLED "TECHNOLOGY SOLUTIONS, PRODUCTS, AND SERVICES", THERE IS NO NEED TO RESPOND HEREIN UNLESS YOU WISH TO MANAGE MULTIPLE TIPS CONTRACTS THAT HAVE THE SAME TERMS AND COVER THE SAME OFFERINGS. IF YOU HOLD A TIPS CONTRACT WITH A TITLE OTHER THAN "TECHNOLOGY SOLUTIONS, PRODUCTS, AND SERVICES", WHICH COVERS ALL OF YOUR TECHNOLOGY OFFERINGS AND YOU ARE SATISFIED WITH IT, THERE IS NO NEED TO RESPOND TO THIS SOLICITATION UNLESS YOU PREFER TO HOLD BOTH CONTRACTS. Contact Information Address: Region 8 Education Service Center 0000 XX Xxxxxxx 000 Xxxxx Pittsburg, TX 75686 Phone: +0 (000) 000-0000 Email: xxxx@xxxx-xxx.xxx Xxxxx Business Machines Information Address: 0000 Xxxxxx Xxxxxx, Suite C San Diego San Diego, CA 92121 Phone: (000) 000-0000 By submitting your response, you certify that you are authorized to represent and bind your company. Xxxxxx Xxxx xxxxxx@xxxxxxxxxxxxxxxxxxxxx.xxx Signature Email Submitted at 5/24/2023 02:28:02 PM (CT) Requested Attachments Pricing Form 1 230504 Pricing Form 1.xlsx Pricing Form 1 must be downloaded from the “Attachments” section of the IonWave eBid System, reviewed, properly completed as instructed, and uploaded to this location. Alternate or Supplemental Pricing Documents Xxxxx Business Machines Catalog Pricing.pdf Optional. If when completing Pricing Form 1 & Pricing Form 2 you direct TIPS to view additional, alternate, or supplemental pricing documentation, you may upload that documentation.

  • Patient Information Each Party agrees to abide by all laws, rules, regulations, and orders of all applicable supranational, national, federal, state, provincial, and local governmental entities concerning the confidentiality or protection of patient identifiable information and/or patients’ protected health information, as defined by any other applicable legislation in the course of their performance under this Agreement.

  • Management Information To be Supplied to CCS no later than the 7th of each month without fail. Report are to be submitted via MISO CCS Review 100% Failure to submit will fall in line with FA KPI CONTRACT CHARGES FROM THE FOLLOWING, PLEASE SELECT AND OUTLINE YOUR CHARGING MECHANISM FOR THIS SOW. WHERE A CHARGING MECHANISM IS NOT REQUIRED, PLEASE REMOVE TEXT AND REPLACE WITH “UNUSED”.

  • Periodic Update of Contact Information The District shall provide CSEA with a list of all bargaining unit members’ names and contact information on the last working day of, January, May, and September. The information will be provided to CSEA via electronic mail. This contact information shall also include the following information, with each field listed in its own column:

  • DEFECTIVE MANAGEMENT INFORMATION 5.1 The Supplier acknowledges that it is essential that the Authority receives timely and accurate Management Information pursuant to this Framework Agreement because Management Information is used by the Authority to inform strategic decision making and allows it to calculate the Management Charge.

  • Employment Information A written form will be used to specify initial conditions of hiring (including number of hours to be worked, rate of pay, unit and shift). Upon request to their immediate supervisor, employees will be given written confirmation of a change in status or separation in accordance with University of Washington policy. Upon request to their immediate supervisor, records shall be readily available for employees to determine their number of hours worked, rate of pay, sick leave accrued and vacation accrued.

  • RELEASE OF BID EVALUATION MATERIALS Requests concerning the evaluation of Bids may be submitted under the Freedom of Information Law. Information, other than statistical or factual tabulations or data such as the Bid Tabulation, shall only be released as required by law after Contract award. Bid Tabulations are not maintained for all procurements. Names of Bidders may be disclosed after Bid opening upon request. Written requests should be directed to the Commissioner.

  • Substance Abuse Treatment Information Substance abuse treatment information shall be maintained in compliance with 42 C.F.R. Part 2 if the Party or subcontractor(s) are Part 2 covered programs, or if substance abuse treatment information is received from a Part 2 covered program by the Party or subcontractor(s).

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