2017 Cleo Q recurring transaction authority application form

Page 1

Recurring Transaction Authority Application Form What is a recurring transaction? Recurring transactions are a way of making regular payments, with a credit/debit card to spread the cost of goods or services. Unlike direct debits, where a customer is specifically authorising their bank to allow a third party to collect payments, recurring transactions give direct access to the third party to claim regular payments from a card account. Because the cardholder has entered a contractual agreement with the card accepting business who has sold them the goods or services a recurring transaction can only be cancelled through the retailer concerned and credit/debit card companies cannot cancel the agreement or suspend payment on a cardholder’s behalf.

To sign up to the 50/50 plan, complete and return the Recurring Transaction Authority below. Cardholder Name:

______________________________________________________________________

Address & Postcode: ______________________________________________________________________ ________________________________________________________________________________________ Telephone Number: ______________________________________________________________________ Email: ___________________________________________________________________________________ I would like to order the Cleo Q Facial Toner / Cleo Q MultiGym (delete as appropriate). I authorise KayCo2 Ltd to charge the following card for an agreed fixed amount (to be advised prior to 1st instalment) for a period of no more than 6 months.

VISA / MASTERCARD - Card No: _ _ _ _ / _ _ _ _ / _ _ _ _ / _ _ _ _ / _ _ _

Start Date: _ _ / _ _

Expiry Date: _ _ / _ _

Issue No: _ _

3 digit Security No: _ _ _

Preferred payment date each month or nearest working day (please circle) : 1st

15th

28th

I understand that KayCo2 Ltd will advise me of the date at which payment will be deducted from my account and may only charge me after giving me prior notice. I understand that this agreement will remain in force until such time as the owing balance is paid in full. Cardholder Signature ____________________________________________________

Date _____________________

RETURN TO: KayCo2 Ltd, Unit 2 Chartists Way, Morley, Leeds, West Yorkshire, LS27 9ET Terms & Conditions By signing this document, you are agreeing to KayCo2 Ltd taking a fixed sum each month from your nominated credit/debit card for the next 6 months, and that until all repayments have been made, title of goods remains with KayCo2 Ltd. If you fail to meet your repayments, then KayCo2 Ltd have the right to commence legal proceedings to recover the balance and claim any costs incurred. You may at any time during the repayment term pay the outstanding balance in full by calling 0871 2211340 or by sending a signed letter of authority to claim the full amount from your designated card, which MUST have an expiry date beyond the repayment term. Once the balance is settled without default, you will be issued with a voucher, which may be redeemed against any future purchases with the exception of extended warranty. The voucher will be valid for 6 months from the date of issue.


Turn static files into dynamic content formats.

Create a flipbook
Issuu converts static files into: digital portfolios, online yearbooks, online catalogs, digital photo albums and more. Sign up and create your flipbook.