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Cbu Credit Card Details Form

This credit card authorization form allows a student to provide their credit card details to authorize Cape Breton University to charge tuition or other fees. The form collects the student's name, date of birth, program of study, credit card number, name on the card, card type, expiry date, and CVV code. It also has space for the student name, amount to be charged, signature, and date.

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684 views1 page

Cbu Credit Card Details Form

This credit card authorization form allows a student to provide their credit card details to authorize Cape Breton University to charge tuition or other fees. The form collects the student's name, date of birth, program of study, credit card number, name on the card, card type, expiry date, and CVV code. It also has space for the student name, amount to be charged, signature, and date.

Uploaded by

dollar
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Credit Card Authorization Form

Student Name _________________________________________

DOB _________________________________________

Program _________________________________________

Credit Card Number _________________________________________

Name on Card _________________________________________

Card Type _________________________________________

Expiry Date _________________________________________

CVV Code _________________________________________

I hereby authorize Cape Breton University to charge the following amount to my


credit card on behalf of myself or for the following students –

Student Name Amount

________________________________________ ___________

________________________________________ ___________

________________________________________ ___________

________________________________________ ___________

Signature _______________________ Date ____________

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