Payment / Bank Card Authorisation Agreement
I understand that this authorization will remain in effect until I cancel it in writing, and I agree to notify the merchant, (Bowse Consultancy Limited, Bowse Consultancy LLC and other group companies and or other related companies), in writing of any changes in my account information or termination of this authorization at least 15 days prior to the next billing date. If the above noted payment dates fall on a weekend or holiday, I understand that the payments may be executed on the next business day. For card debits made to my account, I understand that because there are electronic transactions, any funds may be withdrawn from my account whenever requested / initiated for transaction dates by the merchant, (Bowse Consultancy Limited, Bowse Consultancy LLC and other group companies and or other related companies),. In the case of an card payments being rejected for Non-Sufficient Funds (NFS) I understand that the merchant, (Bowse Consultancy Limited, Bowse Consultancy LLC and other group companies and or other related companies), may, at its discretion attempt to process the charge again within 30 days. There will be no additional fee or charges in this instance of rejected / failed payments to my card. I certify that I am an authorized user of this credit card/bank account and will not dispute these scheduled transactions with my bank; so long as the transactions correspond to the terms indicated in this authorization form.
Individuals Signature: _ _ _ _ _ _ _ _ _ _ _ _ __ _ _ _ _ _ _ _ _ _ _ _ _
Date: _ _ _ _ _ _ _ _ _ _ _ _ __ _ _ _ _ _ _ _ _ _ _ _ _
I, _ _ _ _ _ _ _ _ _ _ _ _ __ _ _ _ _ _ _ _ _ _ _ _ _, allow _ _ _ _ _ _ _ _ _ _ _ _ _ to charge my Credit Card or Bank Account below for $/£ invoices / orders raised in my name / business(s) name in line with agreements held with the merchant, (Bowse Consultancy Limited, Bowse Consultancy LLC and other group companies and or other related companies),.
Goods/Services Provided:
- Mobile phones
- Tablets
- Smartwatches
- Audio products
- Electronic accessories
- Laptops
Billing Details
Billing Address: _ _ _ _ _ _ _ _ _ _ _ __ _ _ _ _ _ _ _ _ _ _ _ __ _ _ _ _ _ _ _ _ _ _ _ __ _ _ _ _
Phone Number: _ _ _ _ _ _ _ _ _ _ _ _ __ _ _ _ _ _ _ _ _ _ _ _ _
Email: _ _ _ _ _ _ _ _ _ __ _ _ _ _ _ _ _ _ _ _ _ __ _ _ _ _ _ _ _ _ _ _ _ __ _ _ _ _ _ _
Credit Card Information
- Visa
- Master Card
- Amex
- Discover
Card Holders Name: _ _ _ _ _ _ _ _ _ _ _ __ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Credit Card Number: _ _ _ _ _ __ _ _ _ _ _ _ _ _ _ _ _ __ _ _ _ _ _ _ _ _ _ _ _ _
Expiration Date: _ _ _ _ _ _ _ _ _ _ _ _ __ _ _ _ _ _ _ _ _ _ _ _ _
Security Code (CVV): _ _ _ _ _ _ _ _ _ _ _ _ __ _ _ _ _ _ _ _ _ _ _ _ _
Again, I understand that this authorization will remain in effect until I cancel it in writing.
- Recurring charge: You authorize scheduled periodic charges to your Credit Card or Banking Account.
I, _ _ _ _ _ _ _ _ _ _ _ _ __ _ _ _ _ _ _ _ _ _ _ _ _, allow _ _ _ _ _ _ _ _ _ _ _ _ _ to charge my Credit Card or Bank Account.