Bni Form Card Authorization PDF Details

In the realm of business networking, the Bni Card Authorization form serves a pivotal role, streamlining the process of membership dues and related financial transactions for members. As of its revision in March 2004, this form has been meticulously designed to ensure security and ease of use for all parties involved. It requires members to detail their charge card information, including the name on the card, card number, and expiration date, alongside a breakdown of the payment amount, incorporating any applicable taxes to arrive at the total charge. An essential component of this form is the provision of the credit card billing address and zip code, an added measure for security verification purposes. Members can select their credit card type from popular options such as Visa, American Express, Discover, and Mastercard. Furthermore, a unique feature of this form is the necessity for the cardholder’s signature, which authorizes BNI (Business Network International) to process the charge as specified on the slip. This action is underlined by a clear statement that, following acceptance into BNI, any participation fees paid are non-refundable, underscoring the commitment required from members upon joining. This document, thus, not only serves as a transactional instrument but also as an agreement binding the member to BNI’s terms of engagement, facilitating a mutual understanding and acknowledgment of the financial aspects of membership in this globally recognized networking organization.

QuestionAnswer
Form NameBni Form Card Authorization
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other names2004, bni form card, bni passport, bni passport to success pdf

Form Preview Example

 

 

 

 

 

 

 

 

 

Revised 3/2004

 

 

 

Charge Card Authorization Slip

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Name on Card:

 

 

Description

 

 

Amount

 

 

 

 

 

 

 

 

 

 

 

 

Chapter:

 

 

 

 

 

 

 

 

Card Number:

 

 

 

 

 

 

 

 

Expiration Date:

 

 

 

 

 

 

 

 

Today’s Date:

Circle your credit card type

 

 

 

 

Required for security verification purposes. Please

Visa

American Express

 

Subtotal

 

 

 

Tax

 

 

provide your credit card billing address and zip code.

 

 

 

 

 

 

Discover

Mastercard

 

Total

 

 

 

 

 

 

 

 

 

Purchaser signature:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(3 last numbers on the

 

 

 

 

Address and Zip:

 

 

 

CDI #

 

 

 

 

 

 

 

 

back of the credit card

excluding AMEX)

Phone Number:

My signature above authorizes BNI to process my credit card for the amount listed on the slip.

Facsimile signature same as original.

Your statement will read BNI Enterprises, Inc., Upland, CA

Upon your acceptance to BNI, participation fees are non-refundable.

 

 

 

 

 

 

 

 

 

 

Revised 3/2004

 

 

 

Charge Card Authorization Slip

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Name on Card:

 

 

Description

 

 

Amount

 

 

 

 

 

 

 

 

 

 

 

 

 

Chapter:

 

 

 

 

 

 

 

 

Card Number:

 

 

 

 

 

 

 

 

Expiration Date:

 

 

 

 

 

 

 

 

Today’s Date:

Circle your credit card type

 

 

 

 

Required for security verification purposes. Please

Visa

American Express

 

Subtotal

 

 

 

Tax

 

 

provide your credit card billing address and zip code.

 

 

 

 

 

 

Discover

Mastercard

 

Total

 

 

 

 

 

 

 

 

 

 

Purchaser signature:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(3 last numbers on the

 

 

 

 

 

 

 

 

 

Address and Zip:

CDI #

 

 

 

back of the credit card

 

 

 

 

 

 

 

 

 

 

 

 

excluding AMEX)

Phone Number:

My signature above authorizes BNI to process my credit card for the amount listed on the slip.

Facsimile signature same as original.

Your statement will read BNI Enterprises, Inc., Upland, CA

Upon your acceptance to BNI, participation fees are non-refundable.

Copyright © 1996, 2006, BNI

 

All Rights Reserved

FORM No. 0129

 

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