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CREDIT CARD AUTHORIZATION FORM
We require your credit card information for several reasons:
1) If you do not comply with our cancellation policy, then your therapist will charge your card the missed
appointment
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How to fill out credit carddebit card pre-authorization

How to fill out credit carddebit card pre-authorization
01
To fill out a credit card/debit card pre-authorization, follow these steps:
02
Retrieve the pre-authorization form from the merchant or establishment.
03
Read the form carefully and provide all the required information.
04
Write your full name as it appears on your card.
05
Enter your card number accurately.
06
Specify the expiration date of the card.
07
Provide the CVV/CVC code (3 or 4-digit security code) located on the back of your card.
08
Write the pre-authorization amount, which is the maximum limit the merchant is allowed to charge to your card.
09
Sign and date the form to confirm your consent for the pre-authorization.
10
Return the completed form to the merchant or establishment.
11
Note: Make sure to read the terms and conditions related to the pre-authorization before filling out the form.
Who needs credit carddebit card pre-authorization?
01
Credit card/debit card pre-authorization is required by the following individuals:
02
- Customers who are booking hotels or accommodations in advance.
03
- Renters of vehicles who need to secure a deposit.
04
- Customers who are reserving a table at a restaurant for a large group.
05
- Individuals purchasing high-value items or services where a deposit is required.
06
- Customers who are scheduling appointments or services that may require a cancellation fee.
07
These are just a few examples, and the need for credit card/debit card pre-authorization may vary depending on the specific merchant or establishment.
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What is credit card/debit card pre-authorization?
Credit card/debit card pre-authorization is a process where a merchant obtains approval from the card issuer to charge a specific amount to a customer's account before the actual transaction takes place.
Who is required to file credit card/debit card pre-authorization?
Merchants who want to ensure that they will receive payment for goods or services before providing them are required to file credit card/debit card pre-authorization.
How to fill out credit card/debit card pre-authorization?
To fill out credit card/debit card pre-authorization, merchants need to obtain the customer's card information, including card number, expiration date, and CVV, and submit a request for pre-authorization to the card issuer.
What is the purpose of credit card/debit card pre-authorization?
The purpose of credit card/debit card pre-authorization is to verify the availability of funds in the customer's account and to reserve a specific amount for future transaction.
What information must be reported on credit card/debit card pre-authorization?
The information that must be reported on credit card/debit card pre-authorization includes the customer's card details, the amount to be pre-authorized, and the merchant's details.
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