Credit Card Authorization Form Template for Belgium

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Key Requirements PROMPT example:

Credit Card Authorization Form

"I need a Credit Card Authorization Form under Belgian law for my e-commerce business that allows for recurring monthly subscription payments up to €500, with the first payment starting March 1, 2025."

Document background

The Credit Card Authorization Form is a critical document used in Belgian business transactions to obtain formal permission from cardholders for processing credit card payments. It serves as a legal agreement between merchants and customers, enabling businesses to charge credit cards for one-time or recurring payments. This document must comply with Belgian financial regulations, EU Payment Services Directive 2 (PSD2), and GDPR requirements for data protection. It's particularly important for businesses operating in Belgium that need to process credit card payments securely and legally, whether for immediate transactions, recurring billing, or future authorized charges. The form includes essential elements such as cardholder information, payment details, authorization terms, and required disclosures under Belgian law.

Suggested Sections

1. Cardholder Information: Complete details of the cardholder including full name, billing address, and contact information as required by Belgian financial regulations

2. Merchant Information: Details of the business/merchant receiving the authorization, including legal business name, registration number, and contact details

3. Card Details: Secure section for credit card information including card type, number (typically last 4 digits only), expiration date, and security code fields

4. Authorization Terms: Clear statement of the authorization being granted, including payment amount(s), frequency, and duration of the authorization

5. Data Protection Notice: GDPR-compliant disclosure about how card and personal data will be collected, processed, stored, and protected

6. Security Declarations: Statements confirming the cardholder's authority to authorize payments and the truthfulness of provided information

7. Signature Block: Space for cardholder signature (physical or electronic) and date, meeting Belgian electronic signature requirements

Optional Sections

1. Recurring Payment Details: Include when authorization is for recurring payments, specifying payment schedule and total number of payments

2. Maximum Charge Limit: Add when there's a need to specify maximum transaction amounts or periodic charging limits

3. Cancellation Rights: Include for consumer transactions to detail the right to cancel and cancellation procedure

4. Multiple Card Authorization: Add when authorization covers multiple cards or backup payment methods

5. Third Party Authorization: Include when someone other than the cardholder is authorized to use the card

Suggested Schedules

1. Payment Schedule: Detailed breakdown of payment dates and amounts for recurring payments

2. Privacy Policy: Detailed GDPR-compliant privacy policy regarding payment data handling

3. Terms and Conditions: Complete terms and conditions of the credit card authorization

Authors

Alex Denne

Head of Growth (Open Source Law) @ Genie AI | 3 x UCL-Certified in Contract Law & Drafting | 4+ Years Managing 1M+ Legal Documents | Serial Founder & Legal AI Author

alex.den.21@genieai.co

Relevant legal definitions

Clauses

Relevant Industries

Retail

E-commerce

Healthcare

Professional Services

Hospitality

Education

Travel and Tourism

Subscription Services

Financial Services

Insurance

Telecommunications

Utilities

Real Estate

Non-profit Organizations

Relevant Teams

Finance

Legal

Compliance

Sales

Customer Service

Operations

Revenue Operations

Risk Management

Accounts Receivable

Payment Operations

Business Development

Relevant Roles

Finance Manager

Accounts Receivable Specialist

Payment Operations Manager

Compliance Officer

Legal Counsel

Sales Manager

Customer Service Manager

E-commerce Manager

Billing Coordinator

Revenue Operations Manager

Credit Controller

Financial Controller

Business Development Manager

Operations Director

Risk Manager

Find the exact document you need

Authorisation Form

A Belgian-law compliant document that formally grants specific powers or permissions from an authorizing party to an authorized representative.

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Let's create your Credit Card Authorization Form

Authors

Alex Denne

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