Credit Card Authority

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1, ,

the undersigned being an authorised signor of the following account, hereby authorise Business Technology Centre, to charge to the credit card below for all future purchases or maintenance
renewals as may be invoiced fromtime to time.

I understand that I can always request to cancel this authorisation on-file by providing a written request via email two (2) weeks prior to the effective date of this cancellation.

Card Details.

Credit Card type   

Name on Card   

Card Number   

CCV  | Expiry month and year  /  


  • I am the owner or an authorised person, to act on behalf of the card holder named above.
  • I understand and agree to the 2.4% fee being applied to all transactions using this credit card.
  • I indemnify Business Technology Centre against and loss or damage if may suffer because of any information in this form or the above paperwork certification being incorrect.
  • I have read and agree to the following terms and conditions –
    • Terms and OCnditions of trade located at
    • Credit policy located at
    • privacy policy located at


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Signature Certificate
Document name: Credit Card Authority
Unique Document ID: 02a5fa820e9c54161ae359b8733b37b8c5d6c993
Timestamp Audit
2016-05-02 13:30:26 AESTCredit Card Authority Uploaded by Josh Rushton - IP