CREDIT CARD AUTHORIZATION FORM

Authorization Agreement:

I authorize [Business Name] to charge the credit card indicated in this form according to the terms outlined below. This authorization is to remain in full force and effect until I have cancelled it in writing.

Terms & Conditions:

1. I certify that I am an authorized user of this credit card and that I will not dispute the payment with my credit card company for transactions that correspond to the terms outlined in this authorization.
2. I understand that recurring payments will continue until I provide written notice to terminate this authorization at least 15 days prior to the next billing cycle.
3. In the case of a pre-authorization, I understand that the actual charge may differ from the pre-authorized amount based on the final transaction details.
4. I understand that [Business Name] will not be responsible for any overdraft charges or other fees that may be incurred by me as a result of this authorization.