Submit. print, sign, scan, and email it to XxXxxxx Xxxxxx Lawyers at xxxxxxxxx@xxx.xxx.xx; or To print this form for signing click here: To email this form to XxXxxxx Xxxxxx Lawyers, after confirming instructions below, click here: CREDIT CARD PAYMENTS Please debit the following credit card for the supply of goods and services indicated on this application form. Note: Payment by credit card will incur a fee of 1.07% (incl GST) for VISA, MasterCard, and 3% (incl GST) for AMEX, on the GST inclusive price. Charge my credit card: Visa Mastercard American Express Total Remitted $ plus credit card fee specified above Expiry date Cardholder’s Name Card Number
Appears in 2 contracts
Samples: www.mcw-access.com.au, www.mcw-access.com.au
Submit. print, sign, scan, and email it to XxXxxxx Xxxxxx Lawyers at xxxxxxxxx@xxx.xxx.xx; or To print this form for signing click here: To email this form to XxXxxxx Xxxxxx Lawyers, after confirming instructions below, click here: CREDIT CARD PAYMENTS Please debit the following credit card for the supply of goods and services indicated on this application form. Note: Payment by credit card will incur a fee of 1.07% (incl GST) for VISA, MasterCard, VISA and Mastercard and 3% (incl GST) for AMEX, on the GST inclusive price. Charge my credit Credit card: Visa Mastercard American Express Total Remitted Remitted: $ plus credit card fee specified above Expiry date Cardholder’s Name Name: Card Number: Cardholder’s Signature: Expiry date:
Appears in 1 contract
Samples: Photography Agreement
Submit. print, sign, scan, and email it to XxXxxxx Xxxxxx Lawyers at xxxxxxxxx@xxx.xxx.xx; or To print this form for signing click here: To email this form to XxXxxxx Xxxxxx Lawyers, after confirming instructions below, click here: CREDIT CARD PAYMENTS Please debit the following credit card for the supply of goods and services indicated on this application form. Note: Payment by credit card will incur a fee of 1.07% (incl GST) for VISA, MasterCard, and 3% (incl GST) for AMEX, on the GST inclusive price. Charge my credit card: Visa Mastercard American Express Total Remitted $ Expiry date plus credit card fee specified above Expiry date Cardholder’s Name Card Number
Appears in 1 contract
Samples: www.mcwonline.com.au
Submit. print, sign, scan, and email it to XxXxxxx Xxxxxx Lawyers at xxxxxxxxx@xxx.xxx.xx; or To print this form for signing click here: To email this form to XxXxxxx Xxxxxx Lawyers, after confirming instructions below, click here: CREDIT CARD PAYMENTS Please debit the following credit card for the supply of goods and services indicated on this application form. Note: Payment by credit card will incur a fee of 1.07% (incl GST) for VISA, MasterCard, VISA and Mastercard and 3% (incl GST) for AMEX, on the GST inclusive price. Charge my credit Credit card: Visa Mastercard American Express Total Remitted Remitted: $ Expiry date: plus credit card fee specified above Expiry date Cardholder’s Name Name: Card Number: Cardholder’s Signature:
Appears in 1 contract
Samples: Photography Agreement
Submit. print, sign, scan, and email it to XxXxxxx Xxxxxx Lawyers at xxxxxxxxx@xxx.xxx.xx; or To print this form for signing click here: To email this form to XxXxxxx Xxxxxx Lawyers, after confirming instructions below, click here: CREDIT CARD PAYMENTS Please debit the following credit card for the supply of goods and services indicated on this application form. Note: Payment by credit card will incur a fee of 1.07% (incl GST) for VISA, MasterCard, and 3% (incl GST) for AMEX, on the GST inclusive price. Charge my credit card: Visa Mastercard American Express Total Remitted $ Expiry date plus credit card fee specified above Expiry date Cardholder’s Name Card NumberNumber Cardholder’s Signature
Appears in 1 contract
Samples: www.mcw.com.au