The Credit Card Payment Authorization Form is essential for businesses operating in the Netherlands that need to process credit card payments from customers. This document is particularly crucial when establishing recurring payment arrangements or maintaining card information on file for future transactions. It must comply with Dutch financial regulations, the EU General Data Protection Regulation (GDPR), and the Payment Services Directive 2 (PSD2). The form includes comprehensive cardholder information, explicit authorization language, data protection notices, and payment terms. It serves as a legal safeguard for both businesses and customers, ensuring transparent and secure payment processing while meeting all regulatory requirements for financial transactions in the Dutch jurisdiction.
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1. Cardholder Information: Essential details of the cardholder including full name, billing address, and contact information
2. Credit Card Details: Secure section for credit card information including card type, number, expiration date, and security code
3. Payment Authorization: Clear statement of authorization for charges, including purpose and nature of the authorization (one-time vs recurring)
4. Payment Terms: Details of the payment including amount, frequency, and duration if recurring
5. Data Protection Notice: GDPR-compliant statement about how card data will be stored, processed, and protected
6. Cancellation Rights: Information about how to cancel the authorization and applicable notice periods
7. Signature Block: Space for cardholder signature, date, and confirmation of understanding
1. Recurring Payment Schedule: Include when authorization is for recurring payments, detailing the schedule of future payments
2. Maximum Charge Limit: Add when there's a need to specify maximum transaction amounts or periodic spending limits
3. Alternative Payment Methods: Include when offering backup payment methods in case of card decline
4. Company-Specific Terms: Add when the organization has specific payment policies or terms that affect the authorization
5. Third-Party Processing Notice: Include when payment processing is handled by an external payment processor
6. International Transaction Notice: Add when transactions may be processed in different currencies or across borders
1. Fee Schedule: Detailed breakdown of all applicable fees, including processing fees or surcharges
2. Privacy Policy Extract: Relevant sections of the company's privacy policy relating to payment data handling
3. Terms and Conditions: Complete terms and conditions relating to payment processing and card usage
Relevant legal definitions
Authorization
Authorized Amount
Billing Cycle
Business Day
Card Details
Cardholder
Charge
Credit Card
Data Protection Laws
Effective Date
Expiration Date
Force Majeure
Merchant
One-Time Payment
Payment Date
Payment Processor
Personal Data
Processing Fee
Recurring Payment
Refund
Security Code
Service Provider
Transaction
Transaction Fee
Valid Card
Authorized Amount
Billing Cycle
Business Day
Card Details
Cardholder
Charge
Credit Card
Data Protection Laws
Effective Date
Expiration Date
Force Majeure
Merchant
One-Time Payment
Payment Date
Payment Processor
Personal Data
Processing Fee
Recurring Payment
Refund
Security Code
Service Provider
Transaction
Transaction Fee
Valid Card
Clauses
Relevant Industries
Retail
E-commerce
Subscription Services
Professional Services
Healthcare
Education
Hospitality
Telecommunications
Utilities
Insurance
Property Management
Financial Services
Consulting
Software and Technology
Relevant Teams
Finance
Accounts Receivable
Legal
Compliance
Customer Service
Sales Operations
Revenue Operations
Treasury
Data Protection
Risk Management
Payment Processing
Billing
Relevant Roles
Finance Manager
Accounts Receivable Specialist
Payment Processing Coordinator
Billing Administrator
Credit Controller
Customer Service Manager
Compliance Officer
Legal Counsel
Data Protection Officer
Sales Operations Manager
Account Manager
Business Development Manager
Financial Controller
Revenue Operations Manager
Treasury Manager
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