Credit Card

Today's Date *
Client Name *
Email *
Contact Phone Number *
I am *
Secondary Credit Card Terms *
I understand and authorize my secondary credit card on file with (Natalie Spasic) OfficeManager4u to be used as 1 ) A deposit hold on a retainer agreement or charged upfront 2) Charged in the event my first credit card is declined 3) Request an invoice to be charged directly upon my request or per automatic payment scheduleI Authorize and Agree to "Secondary Credit Card Terms"
One Time Authorization Charge Terms *
By submitting this form you give us permission to charge your credit card for the amount indicated on or after the indicated date. This is permission for a single transaction only, and does not provide authorization for any additional unrelated debits or credits to your account.I Authorize this One Time Charge and Agree to "One Time Authorization Charge Terms"
Default Credit Card Terms *
I understand that I am authorizing this change in updating my current default credit card on file with Natalie Spasic (OfficeManager4u). This Credit Card on file is used for re-occurring & scheduled payments for invoices that are due. I know at anytime I may access my client portal to view and pay all estimates & invoicesI authorize my Default Credit Card on File and Agree to " Default Credit Card Terms"
Invoice Number *
Charge the Late fee *
Invoice Amount *
Date to Charge My Credit Card *
Effective Date of change *
Credit Card Type *
Card Holder Name *As printed on the card
Credit Card Number *No Dashes
Expiration Date *
CVV2 *(3 digit number on back of Visa/MC, 4 digits on front of AMEX)
Billing Address *
Address City, Country, Zipcode
Old Credit Card *
Keep as a Secondary Credit Card on file as a backupDelete this old Credit Card on file permanantly
My paypal email address *

Verification

Please enter any two digitsExample: 12
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