AUTHORIZATION FOR CREDIT CARD PAYMENTS IATSE National Health and Welfare Fund 417 Fifth Avenue, 3rd Floor New York, NY 10016-2204 (Tel) 212-580-9092/ 1-800-456-3863 (Fax) 646-783-7650 (email) psc iatsenbf-2025

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The document is an authorization form for participants of the IATSE National Health and Welfare Fund to permit the Fund Office to process manual credit card payments for health coverage. It outlines the necessary steps for completion, participant responsibilities, and consequences of non-payment. The form must be signed and submitted to authorize payments using a personal credit card, with specific conditions regarding payment validity and coverage implications.

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Click ‘Get Form’ to open it in the editor.
Begin by entering your full name and participant ID number in the designated fields at the top of the form.
Read through the Participant Acknowledgement section carefully. Ensure you understand each point regarding payment responsibilities and coverage implications.
Sign and date the form at the bottom to confirm your authorization for credit card payments.
Once completed, submit the form via mail, fax, or email to the Fund Office using the provided contact information.
After submission, reach out to participant services at 1-800-456-3863 or via email to process your credit card payment.

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Versions	Form popularity	Fillable & printable
2014	4.5 Satisfied (68 Votes)

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How to fill out a credit card authorization form?

Typically it contains: The cardholders credit card information: Card type, Name on card, Card number, Expiration date. The merchants business information. Cardholders billing address. Language authorizing the merchant to charge the customers card on file. Name and signature of the cardholder. Date.

Why is my credit card authorisation failed?

Human error during data entry is a common reason for credit card authorization failure. Mistakes such as incorrect credit card numbers, expiration dates, or CVV codes can lead to failed transactions.

How to fill credit card payment authorization?

Typically it contains: The cardholders credit card information. Card type. Name on card. Card number. Expiration date. The merchants business information. Language authorising the merchant to charge the customers card on file. Name and signature of the cardholder. Date.

What is credit card payment authorization?

Payment authorization, also called credit card authorization, is a process that verifies a customer has enough funds to cover the amount to be paid on a sale. This process also applies to debit card transactions and PayPal transactions.

How to authorise a credit card payment?

When a card payment is initiated, the merchants bank (acquiring bank) sends the request to the payment processor for authorisation. Payment processor - This intermediary securely transmits the cardholders data from the acquiring bank to the issuing bank to facilitate the authorisation process.