Recurring Credit Card Authorization Form

Recurring Credit Card Authorization Form
I authorize the LEGACY ACCOUNTING LLC to regularly charge my card on the amount indicated in this form on a regular basis, and shall remain in effect until I request for the cancellation or termination. I also agree to charge 3% convinience fee on each recuring transaction.

I likewise certify that I am the authorized user of the Credit Card that shall be submitted through this form. As long as the transactions correspond to the terms and conditions indicated in this authorization, I shall not raise disputes against the company.
Cardholder Name

First NameLast Name
Billing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Credit Card Detailed Information
Email
example@example.com
Phone Number

Area CodePhone Number
Please be advised the services paid thrught this autorization, have been detailed on an invoice previusly provided to you.
By submitting this form, I agree to the payments terms stablished by legacy accounting LLC thruout this form.
Signature
Date

MonthDayYear
Date
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