Authorization Agreement for Credit/Debit Card Authorization I, authorize The Lakeway Church to charge my credit card: Cardholder First Name: * Cardholder Last Name: * Credit Card Billing Address: * Credit Card Billing City: * Credit Card Billing State: * Credit Card Billing Zip: * Cardholder Phone: * Cardholder Email: * Please let us know how you would like your payment applied: Student Name: * Choose an item: Tuition After-School Care Deposit Drop-In Graduation Late Payment Late Pick-Up No-Hassle Fundraiser Registration Summer Tuition T-Shirts Wait List * Amount: $* * Being the cardholder, by checking this box I understand and agree to the terms set forth in this agreement, agree to pay and specifically authorize The Lakeway Church to charge my card. Authorization Agreement for Credit/Debit Card Authorization In gratitude to God and with blessings for my financial support of The Lakeway Church. I, authorize The Lakeway Church to charge my credit card: Cardholder First Name: * Cardholder Last Name: * Credit Card Billing Address: * Credit Card Billing City: * Credit Card Billing State: * Credit Card Billing Zip: * Cardholder Phone: * Cardholder Email: * Please let us know how you would like your payment applied: Select Payment Type: Select... Donation Event Choose an item: Select Donation Type... Operating Fund Deeper & Wider Building Fund Global/Area/Local Outreach Memorial Donation (specify name) Disaster Relief Preschool Fundraiser Specify: Choose an item: Select Event Type... AWANA Boundaries with Kids Children's Program Endeavor University Women's/Men's Program Youth Program Other (specify) Specify: Amount: $* * Being the cardholder, by checking this box I understand and agree to the terms set forth in this agreement, agree to pay and specifically authorize The Lakeway Church to charge my card.
