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Citra metro manila tollways form download 2026

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The document is an authorization form for Citra Metro Manila Tollways Corporation to charge a credit card for replenishing an AUTOSWEEP RFID account. It includes sections for credit card details, account information, and terms regarding the automatic replenishment arrangement. The form requires the cardholder's consent and outlines responsibilities related to updating credit card information and potential cancellation of the authorization.

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Click ‘Get Form’ to open it in the editor.
Begin by entering the date at the top of the form. This is essential for record-keeping.
Fill in your credit card details, including the card holder’s name, credit card number, type, issuing bank, and expiry date. Ensure accuracy to avoid processing issues.
Select your desired auto replenishment amount by checking the appropriate box. If you choose 'Other Amount', specify the amount clearly.
Next, provide your AUTOSWEEP RFID account details: account name, account number, email address, landline number, and mobile number.
Choose a threshold amount for your account replenishment from the options provided or specify an alternative amount if necessary.
Finally, sign and print your name at the bottom of the form to authorize CMMTC to charge your credit card as specified.

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