Authority to Charge Credit Card

When completed, the Authority to Charge Credit Card form will clearly show us what we are permitted to use your nominated card for. Your data is held securely on our internal servers. As per The Agreement, you may revoke your Authority.

Business Name

Business Address

Suburb

State

Postcode

Email for Notifications

Please select the goods & services to be charged to the nominated card

Consumables Hardware SAAS / Licensing / Support On-Site / Remote Technical Services

Credit Card Details

The Agreement

AUTHORITY TO CHARGE CREDIT CARD

The undersigned has the authority to grant YumaPOS / YumaPAY (PGTA Pty Ltd) the right to charge the nominated Credit Card for the Goods & Services provided to the registered Business Trading Name.

The undersigned has granted YumaPOS / YumaPAY (PGTA Pty Ltd) the right to charge the nominated card for the nominated purchases, including the cost to process and recover such amounts.

The undersigned may revoke this authority by giving 14 days notice via email to support@yumapos.com.au. Revocation of the Authority to Charge Credit Card will not operate to revoke this Authority with respect to liabilities arising before the date of the end of the 14-day notice period.

The laws of Western Australia will dictate the resolution of any disputes related to this Agreement.

First Name

Last Name

Authorised Position in the Business

Signature

Date

AUTHORITY TO CHARGE CREDIT CARD

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