The Credit Card Authorization Form serves as a crucial document for businesses operating in Canada that need to process credit card payments from their customers. This form is essential for establishing a clear agreement between merchants and cardholders, particularly for recurring payments, delayed charges, or card-not-present transactions. It must comply with Canadian federal regulations such as PIPEDA, provincial consumer protection laws, and international security standards like PCI DSS. The document typically includes cardholder information, payment details, authorization scope, and relevant terms and conditions. It provides legal protection for both parties while ensuring transparent and secure payment processing practices. The form is particularly important in scenarios involving future or recurring charges, phone/mail orders, or when the physical card is not present during the transaction.
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1. Merchant Information: Complete business details including legal name, address, and contact information of the merchant accepting the credit card payment
2. Cardholder Information: Full name, billing address, and contact details of the credit card holder
3. Credit Card Details: Fields for credit card number, expiration date, card type, and security code (CVV), with appropriate security notices
4. Authorization Statement: Clear statement of the cardholder's authorization for charges, including the purpose and amount of the authorization
5. Security and Privacy Notice: Statement about how credit card information will be protected and used, including PCI DSS compliance
6. Signature Block: Space for cardholder signature (physical or electronic) and date of authorization
1. Recurring Payment Authorization: Additional terms for recurring payment arrangements, including frequency and duration of authorized charges
2. Multiple Card Authorization: Section for authorizing multiple credit cards with priority order for processing
3. Cancellation Policy: Terms and procedures for canceling the authorization, including any notice requirements
4. International Transaction Notice: Additional terms and fees that may apply to international transactions or currency conversions
5. Third-Party Processing Disclosure: Information about any third-party payment processors involved in handling the transactions
1. Schedule A - Payment Schedule: Detailed breakdown of payment amounts and dates (particularly relevant for recurring payments)
2. Schedule B - Additional Authorized Users: List of additional persons authorized to use the credit card, if applicable
3. Appendix 1 - Terms and Conditions: Detailed terms and conditions governing the credit card authorization
4. Appendix 2 - Privacy Policy: Detailed privacy policy regarding the handling of credit card and personal information
Relevant legal definitions
Authorization
Card Issuer
Cardholder
Charge
Credit Card
CVV/Security Code
Effective Date
Expiration Date
Merchant
Payment Processor
Personal Information
PCI DSS
Recurring Payment
Security Measures
Transaction
Transaction Amount
Valid Card
Payment Schedule
Business Day
Card Network
Confidential Information
Electronic Signature
One-Time Payment
Payment Terms
Refund
Service Fee
Unauthorized Charge
Card Issuer
Cardholder
Charge
Credit Card
CVV/Security Code
Effective Date
Expiration Date
Merchant
Payment Processor
Personal Information
PCI DSS
Recurring Payment
Security Measures
Transaction
Transaction Amount
Valid Card
Payment Schedule
Business Day
Card Network
Confidential Information
Electronic Signature
One-Time Payment
Payment Terms
Refund
Service Fee
Unauthorized Charge
Clauses
Authorization
Payment Terms
Recurring Payment
Security and Data Protection
Privacy
Confidentiality
Liability
Termination
Modification
Dispute Resolution
Governing Law
Force Majeure
Severability
Refund Policy
Processing Fees
Data Storage
Card Verification
Cancellation Rights
Electronic Communications
Entire Agreement
Payment Terms
Recurring Payment
Security and Data Protection
Privacy
Confidentiality
Liability
Termination
Modification
Dispute Resolution
Governing Law
Force Majeure
Severability
Refund Policy
Processing Fees
Data Storage
Card Verification
Cancellation Rights
Electronic Communications
Entire Agreement
Relevant Industries
Retail
E-commerce
Healthcare
Professional Services
Hospitality
Education
Subscription Services
Travel and Tourism
Real Estate
Construction
Consulting
Technology Services
Entertainment
Non-profit Organizations
Relevant Teams
Finance
Accounting
Legal
Compliance
Sales Operations
Customer Service
Revenue Operations
Administration
Risk Management
Treasury
Relevant Roles
Finance Manager
Accounts Receivable Specialist
Payment Processing Coordinator
Compliance Officer
Legal Counsel
Risk Manager
Sales Manager
Customer Service Manager
E-commerce Manager
Operations Director
Business Development Manager
Administrative Coordinator
Financial Controller
Treasury Manager
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