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AUTOMATIC PAYMENT Format: Name of Cardholder: Address: City: State: Zip: VisaMasterCardDiscoverCredit Card Number: Expiration Date: Security Code: Tuition Payment Options: $450 ×749 (2) Equal Payments×750
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Automatic payment form is a document used to authorize recurring payments from a bank account or credit card.
Individuals or organizations who want to set up automatic payments for bills or other services.
Fill out the required fields with accurate bank account or credit card information and sign the form to authorize the payments.
The purpose of automatic payment form is to streamline the payment process by authorizing recurring payments without manual intervention each time a payment is due.
Bank account or credit card number, payment amount, payment frequency, and authorization signature.
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