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OR Recurring CreditDebit Card Payment Authorization free printable template

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Recurring Credit/Debit Card Payment Authorization Form I authorize the Oregon Judicial Department (OLD) to make recurring charges to my Credit/Debit Card listed below, and if necessary, to initiate
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How to fill out OR Recurring Credit/Debit Card Payment Authorization Form

01
Step 1: Download the OR Recurring Credit/Debit Card Payment Authorization Form from the official website.
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Step 2: Fill in your personal information, including your name, address, and contact details.
03
Step 3: Provide your credit/debit card information, including the card number, expiration date, and CVV code.
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Step 4: Indicate the amount to be charged on a recurring basis and the frequency of the payments (e.g., weekly, monthly).
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Step 5: Sign and date the form to authorize the recurring payments.
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Step 6: Submit the completed form to the relevant department or service provider via email, postal mail, or in person.

Who needs OR Recurring Credit/Debit Card Payment Authorization Form?

01
Customers who wish to set up automatic recurring payments for services or products.
02
Individuals or businesses that have subscriptions or membership fees.
03
Anyone looking to ensure timely payments without manual intervention.
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The OR Recurring Credit/Debit Card Payment Authorization Form is a document that allows individuals or businesses to authorize recurring payments through credit or debit cards for a specified period.
Individuals or businesses that wish to set up automatic payments for services or products using a credit or debit card are required to file the OR Recurring Credit/Debit Card Payment Authorization Form.
To fill out the OR Recurring Credit/Debit Card Payment Authorization Form, provide your personal and payment details, including your name, address, card number, expiration date, and the amount to be charged, along with the frequency of the payments.
The purpose of the OR Recurring Credit/Debit Card Payment Authorization Form is to enable automatic, consistent payments for services or goods, ensuring timely transactions without needing manual intervention.
The information that must be reported includes the cardholder's name, billing address, credit/debit card number, expiration date, security code, the amount to be charged, and the schedule for recurring payments.
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