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1. Card Holder Information: Details of the card holder including full name, contact information, and billing address
2. Credit Card Information: Secure section for credit card details including card type, number (typically only last 4 digits visible), expiration date, and CVV
3. Authorization Declaration: Clear statement of what the cardholder is authorizing, including transaction types, amounts, and frequency
4. Terms and Conditions: Essential terms including processing details, security measures, and cardholder rights
5. Privacy Statement: Statement on how card and personal information will be collected, used, stored, and protected
6. Signature Block: Space for cardholder signature (physical or electronic) and date of authorization
1. Recurring Payment Details: Used when the authorization is for recurring payments, specifying frequency, duration, and amount
2. Multiple Card Authorization: Section for authorizing multiple cards, used when customer wants to provide backup payment methods
3. Transaction Limits: Optional section specifying maximum transaction amounts or frequency limits
4. Cancellation Policy: Details about how to cancel the authorization, included when dealing with recurring payments
5. Business Details: Additional section for business card holders, including business name and tax information
1. Schedule of Authorized Charges: Detailed breakdown of permitted charge types and amounts
2. Payment Schedule: For recurring payments, a schedule showing payment dates and amounts
3. Privacy Policy: Detailed privacy policy referenced in the main form
4. Terms of Service: Complete terms of service referenced in the main form
Card Holder
Credit Card
Card Information
Charges
CVV/Security Code
Expiration Date
Merchant
Payment Processor
Processing Fee
Recurring Payment
Transaction
Valid Card
Payment Schedule
Business Day
Authorized Amount
Personal Information
Privacy Policy
Terms of Service
Electronic Signature
Payment Gateway
Billing Address
Card Network
Retail
E-commerce
Professional Services
Healthcare
Education
Hospitality
Travel and Tourism
Subscription Services
Financial Services
Insurance
Telecommunications
Utilities
Finance
Legal
Compliance
Customer Service
Sales
Operations
Risk Management
Information Security
Accounts Receivable
Payment Processing
Finance Manager
Accounts Receivable Specialist
Payment Processing Coordinator
Compliance Officer
Legal Counsel
Customer Service Manager
Sales Manager
E-commerce Manager
Business Development Manager
Risk Manager
Privacy Officer
Operations Manager
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Genie’s Security Promise
Genie is the safest place to draft. Here’s how we prioritise your privacy and security.
Your documents are private:
We do not train on your data; Genie’s AI improves independently
All data stored on Genie is private to your organisation
Your documents are protected:
Your documents are protected by ultra-secure 256-bit encryption
We are ISO27001 certified, so your data is secure
Organizational security:
You retain IP ownership of your documents and their information
You have full control over your data and who gets to see it


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