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  • Pfizer Credit Card Update Request

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    Rachel Cabonita
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    This document is a Pfizer credit card update request form that allows account holders to add, change, or remove a credit card on file. It requests the account number, name, credit card type and number, expiration date, signatures of the cardholder and business owner, and provides instructions on how updating the credit card will affect open invoices. The completed form must be faxed due to privacy and security reasons.

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    PfizerCreditCardUpdateRequest.pdf

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    This document is a Pfizer credit card update request form that allows account holders to add, change, or remove a credit card on file. It requests the account number, name, credit card type and number, expiration date, signatures of the cardholder and business owner, and provides instructions on how updating the credit card will affect open invoices. The completed form must be faxed due to privacy and security reasons.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    26 views1 page

    Pfizer Credit Card Update Request

    Uploaded by

    Rachel Cabonita
    This document is a Pfizer credit card update request form that allows account holders to add, change, or remove a credit card on file. It requests the account number, name, credit card type and number, expiration date, signatures of the cardholder and business owner, and provides instructions on how updating the credit card will affect open invoices. The completed form must be faxed due to privacy and security reasons.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 1

    Pfizer Credit Card Update Request

    Account No. _____________________ Please fax completed form

    Account Name:_______________________ to Fax: 1300 873 828


    Emailing of this document will not be accepted due to privacy/security reasons

    Please select the applicable below

     Add Credit Card to my account


    All future invoices will be deducted from your credit card and is not retrospective. All prior invoices
    need to be paid via the previous payment method selected.

     Change existing Credit Card details


    This will update all open invoices with the new credit card details you have supplied. Terms on these
    invoices may change due to this process. See next page for details.

     Remove Credit Card from my account


    Any open invoices with this credit card will still be deducted on the due date.

    Please select the required Credit Card

     Visa
     Mastercard
    Name on Credit Card: _________________________________________________

    Credit Card Number: _________________________________________________

    Exp Date: _________ Signature of card holder: _____________________________________

    Authorisation of Business owner


    Name: ____________________________________

    Signature: ____________________________________

    Date: ____________________________________

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