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Consent
Form For Automatic Credit Card Billing
   
Member
Number _______________________
Company Name
_____________________________
Credit Card
Type:
American Express ___MasterCard ___ Visa ___ Discover ___
Credit Card
Account Number ____________________________________
Expiration Date
________________________
Credit Card
Holder’s Name ____________________________________
I authorize Florida
Barter to automatically debit my credit card as shown
above.
Print Name
_____________________________________
Signature
_____________________________________
Date
_________________
Gold Card Benefits:
·
$10 cash service charge for national accommodations waived.
·
Free admission into Florida barter events.
·
10% discount on showroom purchases.
·
Service fees on transactions over 1,000tds will be
billed instead of collected in cash prior to
authorization.
·
Service fees and sales tax on showroom merchandise,
scrip, tickets and purchases will be billed instead of collected in cash
at the point of purchase.
·
Credit line (average monthly volume times 2 months;
subject to approval).
Per the Florida Barter contract, paragraph 13 - Any
trade dollar account with a negative balance (purchases exceed sales) shall
be assessed a 1% per month carrying charge. The carrying
charge will be assessed in trade dollars monthly and will be added to the
statement of account.
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