Free credit card authorization form template 27
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Credit Card Authorization and Consent Form

I, ___________________________________________________ hereby authorize
CADIP – Canadian Alliance for Development Initiatives and Projects to charge
my
credit card for participation in a volunteer program and membership fee.

Type of Card

Visa

MasterCard

Credit Card Number:

American Express

__________________________________________

Expiration Date:

__________________________________________

Name of Cardholder:

__________________________________________

Credit Card billing address:

__________________________________________

__________________________________________
Total amount to be charged: _________ (CAD) Canadian Dollars
Authorized Signature of Cardholder ______________________
Signing this, I acknowledge the charges described hereon and assume full
responsibility for said charges and agree to honour and abide by the terms of
payment. I acknowledge and accept CADIP Terms and conditions of the
volunteer projects liste