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CREDIT CARD AUTHORIZATION FORM

All members shall provide two valid credit card account numbers and a signed credit card authorization form allowing the Long Island Yacht Club to charge their credit card account under the following circumstances. No debit cards are accepted.
 

  1. The Club will charge the member’s primary credit card if no other form of payment has been received by the 10th day of the month in which such bill was rendered.

  2. In the event the member’s primary credit card is declined, the Club will charge the secondary credit card for the outstanding debt amount

  3. Any change in credit card account information on file with the Club must be updated with a new credit authorization form.

  4. There is no fee to pay with a check or cash; a 3% administrative fee will be applied to all other forms of payment

 

 

All Members must provide the following credit card information and sign the authorization below.

Primary Card Details

CC Provider

Secondary Card Details

CC Provider

My (our) signature below constitutes my (our) complete understanding and acceptance of the terms and conditions herein outlined above.


Late Payment Credit Card Authorization

Pursuant to the above, I hereby authorize the LIYC, to charge the above credit cards for any and all outstanding debts owed to Long

Island Yacht Club.

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