Fillable CREDIT CARD AUTHORIZATION (Idaho State University)

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CREDIT CARD AUTHORIZATION (Idaho State University)

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The CREDIT CARD AUTHORIZATION (Idaho State University) form is 1 page long and contains:

  • 1 signature
  • 2 check-boxes
  • 21 other fields

Country of origin: US
File type: PDF

U.S.A. forms for Idaho State University

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Cardholder's Information Date:
Cardholder's Name: (as it appears on the card)
Billing Address: Phone #:
Card Number: Exp. Date:
Traveler's Name:
Inv./PO #:
Vendor's Information
Vendor's Name: Phone #:
Address: Fax #:
Website: Amount: $
Description of Services/Goods:
Check one: □ All Charges Approved □ Room Charges Approved Only
By signing this form, I (responsible party of this card) authorize the above vendor to collect
payment for all listed charges as described to the above card. Charges must not exceed
$______________ for all goods/services. I certify that I am the authorized signer of the above
listed card.
Cardholder's Printed Name:
Cardholder's Signature:
NOTE: Vendor's might not honor the Idaho tax exempt status on the Idaho State University's
travel card if the Sales Tax Exemption Form is not filled out correctly when provided to the
vendor.
Revised 3/1/2018
Idaho State University
Credit Card Authorization
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CREDIT CARD AUTHORIZATION (Idaho State University)

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Completed 24 July 2020

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