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  • Credit Card Auth 11

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    wyeriverslsc
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    This document is a membership form for the Wye River Surf Lifesaving Club that needs to be returned for payment. It provides three payment methods: 1) completing the credit card authority or sending a cheque, 2) electronic funds transfer, or 3) using an online payment gateway. It also lists the membership categories and associated fees such as $70 for senior membership and $150 for a family membership.

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    CreditCardAuth11

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    This document is a membership form for the Wye River Surf Lifesaving Club that needs to be returned for payment. It provides three payment methods: 1) completing the credit card authority or sending a cheque, 2) electronic funds transfer, or 3) using an online payment gateway. It also lists the membership categories and associated fees such as $70 for senior membership and $150 for a family membership.

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    Attribution Non-Commercial (BY-NC)
    Téléchargez comme PDF, TXT ou lisez en ligne sur Scribd
    Signaler comme contenu inapproprié
    50 vues1 page

    Credit Card Auth 11

    Transféré par

    wyeriverslsc
    This document is a membership form for the Wye River Surf Lifesaving Club that needs to be returned for payment. It provides three payment methods: 1) completing the credit card authority or sending a cheque, 2) electronic funds transfer, or 3) using an online payment gateway. It also lists the membership categories and associated fees such as $70 for senior membership and $150 for a family membership.

    Droits d'auteur :

    Attribution Non-Commercial (BY-NC)
    Téléchargez comme PDF, TXT ou lisez en ligne sur Scribd
    Signaler comme contenu inapproprié
    sur 1

    This form needs to be returned for payment for membership to the Wye River Surf Lifesaving Club

    Methods of payment: 1. completing the authority below or by cheque and mailed to 5 Bendoran Cres. BUNDOORA 3083, OR 2. Electronic Fund Transfer directly into our account & email notification to barbante@optusnet.com.au 3. Payment gateway BSB: 033 637 Account number: 104 748 Ref:. Your full name Credit Card Authority
    Please charge my (please tick): Account No Expiry Date: / Please debit my credit card account with the amount of

    (Diners or Amex not accepted)


    Mastercard Visa

    Bankcard

    Categories 2011 Senior $70.00 Junior $60.00 Nipper $80.00 Associate $60.00 Senior Citizen $35.00 Corporate $300.00 Family $150.00 (2 adults & dependent children) Plaques $500.00 Donation

    OFFICE USE ONLY Date Rec. No. Processed

    Cardholders name (as shown on card): Address: Email: Telephone:


    (Cardholders Signature)

    Donations $2.00 and over are tax deductible

    Please enclose a stamped self addressed envelope for a receipt.

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