Credit Card Authority
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 maintenancerenewals 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.
Credit Card type Card TypeVisaMasterCard
Name on Card
CCV | Expiry month and year /
Leave this empty:
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Document Name: Credit Card Authority
Agree & Sign