Whitchurch-Stouffville · Declarationswritten

Credit Card Authorization Form

Published by Town of Whitchurch-Stouffville under Property Information Reports

Alias
credit card
Applies to
any
Signatories
cardholder
Document date
Jan 2022

A confidential form the Town of Whitchurch-Stouffville uses to authorize a credit-card charge for an amount owing, posted alongside its Property Information Reports page. It records the department, the purpose of payment, a reference number described as an invoice, permit or membership type where applicable, the customer's name and the amount owing, with the cardholder's signature above a detachable credit-card-information section — card type, cardholder name, card number, expiry and security code — destroyed by the cashier once the payment is processed.

What it covers

  • Office Use Only
  • Credit Card Information
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Publisher
Town of Whitchurch-Stouffville
Category
Declarations
Published under
Property Information Reports — the municipality's own heading
Required for
Authorizing a credit-card payment by phone or mail
Document date display
January 2022
Tags
declarationpaymentcredit-cardfinance
Credit Card Authorization FormOpen at townofws.ca

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