I,
hereby authorize Ripe VIP Inc. to charge my credit card below for agreed upon purchases. I understand this information will be saved on file for future transactions. I understand there is a 3% terminal fee when making payments via credit card.
Type of Card:
VisaMasterCardAMEX
Credit Card Number:
Expiration Date:
Security Code:
Name of Cardholder:
Credit Card Billing Address:
Cardholder Signature:
By signing this, I acknowledge and assume responsibility for the charges to my account and agree to honour the payment terms of projects and services.
Company Name:
Date:
