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1. Cardholder Information: Essential details of the cardholder including full name, contact information, and billing address as required for verification
2. Credit Card Details: Secure section for credit card information including card number, expiration date, and security code
3. Payment Authorization: Clear statement of the authorization being granted, including payment amount(s) and purpose
4. Transaction Details: Specific information about the authorized transaction(s) including amount, frequency (if recurring), and purpose
5. Data Privacy Statement: Statement regarding how the credit card information will be collected, used, stored, and protected in compliance with PDPO
6. Authorization Declaration: Formal declaration by the cardholder confirming the authorization and accuracy of provided information
7. Signature Block: Space for cardholder signature (wet signature or electronic) and date
1. Recurring Payment Terms: Additional terms specific to recurring payments - include when the authorization is for recurring rather than one-time charges
2. Transaction Limits: Specific limits on transaction amounts or frequency - include when the authorization needs boundaries
3. Cancellation Policy: Terms for cancelling the authorization - particularly important for recurring payment arrangements
4. Multiple Card Authorization: Additional sections for multiple cards - include when the cardholder wants to authorize multiple cards
5. Third Party Authorization: Additional declarations when the cardholder is authorizing payments for a third party's benefit
1. Schedule of Authorized Payments: Detailed breakdown of payment amounts, dates, and purposes - particularly for recurring or multiple payment authorizations
2. Terms and Conditions: Detailed terms governing the authorization, including liability provisions and dispute resolution procedures
3. Privacy Policy: Detailed privacy policy explaining how card and personal information will be handled, stored, and protected
Cardholder
Card Information
Charges
Credit Card
Data Privacy Policy
Effective Date
Electronic Signature
Merchant
One-Time Payment
Payment Processor
Personal Data
Recurring Payment
Security Code
Transaction
Transaction Date
Valid Card
Payment Schedule
Billing Address
Card Expiry Date
Authorized Amount
Payment Terms
Processing Fee
Refund Policy
Security Measures
Service Provider
Terms and Conditions
Payment Terms
Data Privacy
Consent
Security
Liability
Representations and Warranties
Cancellation Rights
Dispute Resolution
Governing Law
Data Protection
Confidentiality
Force Majeure
Amendment
Electronic Authorization
Processing Terms
Refund and Chargeback
Term and Termination
Notice
Entire Agreement
Retail
E-commerce
Financial Services
Healthcare
Education
Professional Services
Hospitality
Travel and Tourism
Subscription Services
Insurance
Telecommunications
Finance
Accounts Receivable
Legal
Compliance
Customer Service
Sales
Operations
Risk Management
Treasury
Information Security
Data Protection
Finance Manager
Accounts Receivable Specialist
Payment Processing Officer
Compliance Officer
Data Protection Officer
Financial Controller
Sales Manager
Customer Service Manager
E-commerce Manager
Risk Management Officer
Legal Counsel
Operations Manager
Billing Coordinator
Treasury Manager
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