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1. Card Holder Information: Complete details of the credit card holder including full name, contact information, and address as required by BSP regulations
2. Credit Card Details: Partial credit card information (last 4 digits only) and card type for security compliance
3. Authorization Statement: Clear and explicit statement authorizing the merchant/company to charge the credit card
4. Payment Details: Specification of payment amount, frequency (one-time/recurring), and purpose of the charges
5. Security Declaration: Statement regarding the secure handling and storage of credit card information in compliance with data privacy laws
6. Signature Block: Space for cardholder's signature and date of authorization
1. Transaction Limits: Optional section specifying maximum transaction amounts or frequency limits - used when the cardholder wants to set specific boundaries
2. Expiration of Authorization: Section defining when the authorization expires - used for temporary or time-limited authorizations
3. Additional Authorized Users: Section for listing other individuals authorized to use the card - used in business or family arrangements
4. Cancellation Terms: Specific terms for canceling the authorization - used particularly for recurring payment arrangements
1. Schedule A - Payment Schedule: Detailed breakdown of payment dates and amounts for recurring payments
2. Schedule B - Additional Terms and Conditions: Specific terms and conditions that may apply to the authorization
3. Appendix 1 - Proof of Identity: Copy of valid government ID or other required identification documents
4. Appendix 2 - Company Information: Details of the merchant/company being authorized to charge the card
Retail
E-commerce
Subscription Services
Healthcare
Education
Professional Services
Travel and Hospitality
Insurance
Telecommunications
Utilities
Finance
Accounts Receivable
Legal
Compliance
Customer Service
Sales Administration
Operations
Risk Management
Payment Processing
Finance Manager
Accounts Receivable Specialist
Billing Coordinator
Compliance Officer
Customer Service Manager
Sales Administrator
Operations Manager
Credit Controller
Payment Processing Specialist
Business Development Manager
Legal Counsel
Risk Manager
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