Credit Card Form (Mail and Phone)

Western Michigan University Credit card forms - mail and phone To use with mail in payments - suggested forms with registrations, etc. Date Customer Name Amount $ Cardholder Name Signature of Credit Holder MasterCard Credit card number Telephone Number Address Visa Discover Expiration Date Description of Merchandise or Services Transaction Date To accept charge card payments over the phone Department Date Customer Name Amount $ Cardholder Name MasterCard Credit card number Telephone Number Address Visa Discover Expiration Date Description of Merchandise or Services Transaction Date Employee signature 3/20/2007