Fillable Authorization for Credit Card Use (Australian Correspondence Schools)

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Authorization for Credit Card Use (Australian Correspondence Schools)

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The Authorization for Credit Card Use (Australian Correspondence Schools) form is 1 page long and contains:

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Country of origin: AUSTRALIA
File type: PDF

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Astute Training Pty Ltd
497-507 High Street, Penrith NSW, 2750
Phone No: (02) 4732 5088
RTO 91077 | CRICOS Provider 02975F | ABN: 34 112 579 889
Card Payments Form 1 of 1 Version 2.1 Sept 2020
Authorization for Credit Card Use
PRINT AND COMPLETE THIS AUTHORISATION AND RETURN.
All information will remain private and confidential
Name on Card
Credit Card Type
Visa MasterCard AMEX
Visa and MasterCard transactions will attract a 1.2% additional cost to student. AMEX will attract a
1.65% charge to the student.
Credit Card Number
Expiration Date
MM
YYYY
Card Identification No.
(last 3 digits located on the back of the credit card or Amex 4 digits on front of card)
$
(AUD)
Plus 1.2% $
TOTAL AMOUNT
$
(AUD)
I authorize Astute Training Pty Ltd to charge the amount listed above to the credit card provided herein. I agree to pay for deposit of course in
accordance with the issuing bank cardholder agreement.
Cardholder – Please Sign and Date
Print Name: ___________________________________________
Signature: ___________________________________________
Date: ___________________________________________
Return the completed and signed form to the following:
reception@astutetraining.edu.au
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Authorization for Credit Card Use (Australian Correspondence Schools)

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Completed 28 December 2022

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