Cardholder Signature definition

Cardholder Signature. Budget Supervisor Signature: Date: PCard Administrator's Signature: Date: Date: Request for a PCard (Purchasing Card) Date: (mm‐dd‐yyyy) Cardholder Name: SPC Employee #: Department Name: Campus Location: Phone: Cell Phone: (for fraud alert notification) E‐mail address:
Cardholder Signature. Date: For Program Use only Limit Per Purchases: $ (Not to exceed $1000.00) Cycle Limit: $ (Not to exceed without authorization) Approval Signature: Date:
Cardholder Signature. Date: Cardholder Printed Name:

Examples of Cardholder Signature in a sentence

  • Date Name of Cardholder Signature Final invoicing will be sent by our tour operator, Odysseys Unlimited, Inc.

  • Cardholder Name (Print): Cardholder Signature: Date: I hereby acknowledge that in the event any amounts owed are not timely paid by the credit card company listed above, I will directly pay such amounts upon notice from the Club.

  • Date: / MM YY 3-digit CVV(On the back of your card) Cardholder Name: Cardholder Signature: Total amount charged: The Park District reserves the right to change a payment to reflect the correct fee.

  • Option 1: Automated Credit Card Charge Card Type: Visa Mastercard Amex Discover Cardholder Name: Credit Card Number: Expiration Date: / Cardholder Signature: I authorize Operator to automatically charge my credit card on a recurring basis to pay any sums due from me for parking charges payable under my Agreement for Monthly Parking Privileges.

  • Xn Option 1: Automated Credit Card Charge Card Type: Visa Mastercard Amex Discover Cardholder Name: Credit Card Number: Expiration Date: / Cardholder Signature: I authorize Operator to automatically charge my credit card on a recurring basis to pay any sums due from me for parking charges payable under my Agreement for Monthly Parking Privileges.

  • The Sponsor/ExhibitorBilling Address City State Zip Cardholder Signature Dateagrees that upon receiving this application and sales contract by Syllabusx, with or without appropriate payment, thisMM DDYYYYapplication and sales contract shall CHECK is enclosed payable to SyllabusX.

  • Cardholder Signature: ..................................................................................

  • Payment: ❑ Cash ❑ Check ❑ Credit Card (Visa, MC, Discover, Amex) Total Amount Enclosed Card # Cardholder Signature Exp.

  • Date: V-Code: Cardholder Signature: For questions call (225) 387-3282 or e-mail laurent@lba.org.

  • Option 1: Automated Credit Card Charge Card Type: Visa Mastercard Amex Discover Cardholder Name: Credit Card Number: Expiration Date: / Cardholder Signature: Option 2: Bank Account Direct Withdrawal (E-Check) Bank Name: Transit Number: Account Number: Bank Address: Note: Please attach an unsigned check marked “VOID” I authorize Operator to automatically charge my credit card on a recurring basis to pay any sums due from me for parking charges payable under my Agreement for Monthly Parking Privileges.


More Definitions of Cardholder Signature

Cardholder Signature. Date: Cardholder Name (Print): Department: College/Division: Parking and Transportation Office Signature:
Cardholder Signature. Date: Cardholder Name (Print): Department/College/Division: I have received the above-mentioned P-Card. UHCL P-Card Administrator Signature: Date: P-Card Administrator Name (Print): Xxxxxx Xxxxxxx
Cardholder Signature. Expiration: CVV: Billing Zip: VHP8301 X Xxxxxxxx Xxxxxx, Xxxxx 000 Xxxxxxxxx Xxxxxxx, XX 00000-0000 Phone: (000) 000-0000 : Fax (000) 000-0000 NEW PATIENT INTAKE FORM (Private Pays or Self-Pays) PATIENT INFORMATION First Name: Last Name: Date of Birth: Gender: M [ ] F [ ] Weight (lbs.): Height: Dental Office Name: Contact Number: Dental Office Address: _ Primary Physician Name: (If applicable) Specialist Physician Name: Contact Number: Contact Number: PARENT OR LEGAL GUARDIAN INFORMATION Please check one. Mother [ ] Father [ ] Legal Guardian [ ] Other: Full Name: Date of Birth: Contact Number: Street Address: City: State: Zip: Email Address: PREGNANCY/NEONATAL HISTORY
Cardholder Signature. Date: Cardholder Name (Print): Department: College/Division:

Related to Cardholder Signature

  • E-Signature means the process of attaching to or logically associating with an Electronic Transmission an electronic symbol, encryption, digital signature or process (including the name or an abbreviation of the name of the party transmitting the Electronic Transmission) with the intent to sign, authenticate or accept such Electronic Transmission.

  • Cardholder means an individual, company, firm or other body to whom a Card has been issued at any time and who is authorised to use that Card;

  • Signature means a tangible symbol or an electronic signature that evidences the signing of a record.

  • Cardholder Data has the meaning defined by the PCI Security Standards Council, Payment Card Industry (PCI) Data Security Standard (DSS) and Payment Application Data Security Standard (PA-DSS), Glossary of Terms, Abbreviations, and Acronyms, Version 3.0, January 2014, currently available online at: xxxxx://xxx.xxxxxxxxxxxxxxxxxxxx.xxx/documents/PCI_DSS_Glossary_v3.pdf. For the term of this Contract, Contractor will maintain a provisional Authority to Operate (ATO) at the Moderate Level from the Federal Risk and Authorization Management Program (FedRAMP) Joint Authorization Board (JAB) or Federal Agency for any and all Cloud Services provided under this Contract. For the term of this Contract, Contractor will maintain an ISO 27001 Certification for any and all Cloud Services provided under this Contract.

  • Authorized User means a person:

  • Signature Date means the date of signature of this Agreement by the Party signing last;

  • Primary Cardholder means the person who applied for a Card, whose name is on the Account and who a Card is issued to. Purchase means any Transaction other than a Cash Advance.

  • Authorized Users means an individual or individuals with an authorized business requirement to access DSHS Confidential Information.

  • Card means the Visa credit card and any duplicates, renewals, or substitutions the Credit Union issues to you; "account" means your Visa credit card line-of-credit account with the Credit Union; and "Credit Union" means the Credit Union whose name appears on this Agreement or anyone to whom the Credit Union transfers this Agreement.