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20172018 STRIPES 360 AUTOMATIC DEBIT/CREDIT CARD AUTHORIZATION FORM I hereby authorize the Republic III School District STRIPES 360 Program to initiate Debit entries to my checking/savings account

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What is automatic debit/credit card authorization?

Automatic debit/credit card authorization is a process where a cardholder provides permission for a merchant to automatically charge their credit or debit card for recurring payments.

Who is required to file automatic debit/credit card authorization?

Anyone who wishes to set up recurring payments with a merchant using their credit or debit card may be required to file automatic debit/credit card authorization.

How to fill out automatic debit/credit card authorization?

To fill out automatic debit/credit card authorization, the cardholder must provide their card information, the amount to be charged, the frequency of charges, and their authorization signature.

What is the purpose of automatic debit/credit card authorization?

The purpose of automatic debit/credit card authorization is to streamline recurring payments and provide convenience for both the cardholder and the merchant.

What information must be reported on automatic debit/credit card authorization?

Information that must be reported on automatic debit/credit card authorization includes cardholder's name, card number, expiration date, amount to be charged, frequency of charges, and authorization signature.

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