REGIONAL DISTRICT OF NANAIMO (RDN) CREDIT CARD USE AGREEMENTCredit Card Use Agreement • April 20th, 2015
Contract Type FiledApril 20th, 2015CUSTOMER INFORMATION CUSTOMER’S BUSINESS NAME OWNER’S NAME CELL: BUSINESS ADDRESS MAILING ADDRESS IF DIFFERENT FROM ABOVE TELEPHONE: FAX: EMAIL ADDRESS: Type of Credit Card: Visa MasterCard Credit Card Number: Card Expiry Date: Three digit Security Number: Cardholder’s Name: Authorizing Signature: