Credit Card Charge Form

Credit Card Change Form Participant Name: ___________________________________________ The Credit Card in RecTrac (the Waukegan Park District registration software) needs to change. Indicate why change is needed: The Card on file was Compromised / Expired /... More

Credit Card Change Form Participant Name: ___________________________________________ The Credit Card in RecTrac (the Waukegan Park District registration software) needs to change. Indicate why change is needed: The Card on file was Compromised / Expired / Other reason____________________ Recurring Credit Card Payment Agreement I understand my credit card payment is continuous until I complete and return a cancellation form and pay any unpaid balances at time of cancellation. I agree to abide by the cancellation procedure. My participation may be terminated if a payment is uncollected, my accounts are closed without notification, I stop payment on my draft, or I revoke authorizations. Any penalty imposed by my issuing bank or by the Waukegan Park District for uncollected drafts is my responsibility. I have read and understand the above recurring credit card agreement. Signature: _________________________________ Date: ___________________ Printed name: _________________________________ Less