Credit Card Visa MasterCard Discover American Express ☐ ☐ ☐ ☐ Cardholder Name ___________________________ Account/CC Number ___________________________ Expiration Date ____ /____ CVV ____ Zip Code _______ I authorize the above named business/individual to charge the credit card indicated in this authorization form according to the terms outlined above. This payment authorization is for the goods/services described above, for the amount indicated above only, and is valid for one (1) time use only. I certify that I am an authorized user of this credit card and that I will not dispute the payment with my credit card company; so long as the transaction corresponds to the terms indicated in this form. SIGNATURE ___________________________ DATE _____________________ (cardholder name) Bank Wire Name on Bank Account: _________________________ Street Address: _________________________ Bank Name: _________________________ Account Number: _________________________ Routing Number: _________________________ Account Type: _________________________ Email: __________________________
Credit Card ☐ Visa ☐ MasterCard ☐ Discover ☐ American Express Cardholder Name ___________________________ Account/CC Number ___________________________ Expiration Date ____ /____ CVV ____ Zip Code _______ I authorize the above named business/individual to charge the credit card indicated in this authorization form according to the terms outlined above. This payment authorization is for the goods/services described above, for the amount indicated above only, and is valid for one (1) time use only. I certify that I am an authorized user of this credit card and that I will not dispute the payment with my credit card company; so long as the transaction corresponds to the terms indicated in this form. SIGNATURE ___________________________ DATE _____________________ (cardholder name) Bank Wire Name on Bank Account: _________________________ Street Address: _________________________ Bank Name: _________________________ Account Number: _________________________ Routing Number: _________________________ Account Type: _________________________ Email: __________________________
freelance-independent-contractor-invoice-template.docx