Examples of Type of Card in a sentence
NOTE: Annual dues & fees are subject to change Date: Credit Card AuthorizationMember Name: License #: Type of Card: ☐ Visa ☐ MasterCard ☐ Discover ☐ Amex Credit Card #: Exp.
Type of Card: Check the appropriate box to denote the type of credit card.
Client Name: Signature: Date: Type of Card: Visa MC Discover Expiration Date Security Code Billing Address City, State, Zip Phone Number E-mail Address By signing this form, you authorize Forever Hope Counseling & Educational Services, LLC to charge this card for clinical, academic, or behavioral services provided for We are unable to schedule appointments with your therapist if there is a balance on your account.
CLIENT d/b/a Baltic Networks By: By: _ Title: Title: Date: Date: Company Name: d/b/a: Address 1: Address 2: Address 3: City: State: Zip: Type of Card: Address 1: Address 2: Address 3: City: State: Zip: Account Number / CCV Code: (3 or 4 digit code) Name On Card: A copy of the front and back of the credit card and a valid photo I.D. of the credit card holder must be provided.
You may pay online at www.sc-mgma.org or email your form and credit card information to our secure payment site at scmgmaconfmembership@scmgma.com Credit Card number: Type of Card American Express Visa MasterCard DiscoverExpiration Date: Credit Card Billing Address:CID: City State Zip: Authorized Name on Credit Card: MAIL YOUR COMPLETED APPLICATION WITH CHECK TO: Cindy S.
Type of Card (please tick appropriate box): q Mastercard q VISA q Bankcard q Amex q Diners I/We acknowledge that this Direct Debit arrangement is governed by the terms of the Client Service Agreement received from Castle Hill RSL Club Limited (trading as Parramatta RSL Club).
Client The Company Credit Card Billing Information Name Type of Card Card Number Expiration Date Security Code Billing Address Billing City Billing State Billing Zip Covered Entity: Service Provider: IN WITNESS WHEREOF, each Party has caused the below Agreement to be executed on its behalf by a duly authorized representative on the Effective Date.
Phone # Birth Date / / Membership Level□ Bareback Riding□ Breakaway Roping□ Bull Riding□ Bull Fighter□ Calf Roping□ Girls Barrel Racing□ Saddle Bronc Riding□ Steer Wrestling□ Team Roping - Heading□ Team Roping - Heeling□ Secretary□ Timer□ Stock Contractor□ Contact Act□ Pick Up Man□ Judge□ Announcer□ PhotographerJacket Size (select only one) □S □M □L □XL □2XL □3XL □other Events Worked or Type of Card.
Type of Card P-Card ($3,000)Blue credit card School site/office may select to utilize a Purchase Credit Card to facilitate low-dollar purchases.
Table 2 below shows a sample of interchange rates across different payment products.Table 2: Interchange rates of Different Payment Products Type of Card* interchange may also vary depending on specific MCC of merchant# these products do not have interchange because they are proprietary products ie on-us The interchange rate is the cost of issuing bank providing the cardholder interest-free credit, sometimes up to 45 days, plus the cost of card rewards like bonus points promotions.