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TELNOR PAGE No.

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Credit Card Payment Program Enrollment


Letter of Agreement
Date: [MONTH DAY, YEAR]
Telfonos del Noroeste, Inc.

The present document is a Certificate of Agreement between Telfonos del Noroeste, Inc. (henceforth
referred to as Telnor) and [NAME] (henceforth referred to as Client) that establishes the conditions for
acceptance into the Secure Credit Card Payment Program at Telnor.

We hereby enroll the Client to this Security Program, through which she will be able to make payments
with a credit card though any of the available alternative channels (By Internet at Telnor Online and by
Telephone by dialing *025 from the clients own line) with the following credit/debit cards that will be
designated.

Client Provisions

Cardholders information:
Name [NAME] Telephone ### ####
Address [ADDRESS]

Credit/debit cards that I accept for enrollment into the program are:

Bank Credit Debit Expiration Date Payment limit


Chase ################ x ##/##

The phone numbers that I accept for enrollment are:


(###) ###-####

Security Program Terms:

This program offers secure payments with a credit/debit card, with the goal of preventing the Client from
becoming the victim of fraudulent payments. With this program the client will be able to determine the
maximum limit to be paid by credit/debit card.

This program acknowledges payments realized by:


1. Telephone by dialing *025
2. Internet at www.telnor.com in the Telnor Online section

Client Stipulations:
I acknowledge that Telnor will only accept payments with credit/debit cards that I authorized and for
the telephone numbers enrolled to this program
I am aware that it is my responsibility to choose the payment limit for the credit/debit card and the
correct use of this program.
I will notify Telnor of any changes I would like to make in reference to any telephone numbers and/or
to the cards enrolled in this program. Proceeding to approve a new letter of agreement in order to
continue to enjoy the security that program affords me.
I acknowledge that in the event that Telnor detects fraudulent operations, it will carry out and
investigation and, only if I am found responsible, I will be expulsed from this program and sanctioned
according to company policy.

I authorize the Receiving Bank to realize payments for the concepts that this document details on my
behalf, charging the bank account identified by the CLABE or the indicated credit and debit card
numbers. I agree that the Receiving Bank is released of responsibility if the Issuing bank takes action
against me, derived from the Law or Contract that we have signed, and that the Receiving Bank will not
be obligated to make any complaints to the Issuing Bank; nor will it come interpose resources of any kind
against fines, sanctions or charges due, all of which, in the event that it is necessary, will be carried out
by myself. The Receiving Bank will not be responsible if the Issuing Bank does not deliver receipts for
services at the appropriate time, or if the payments are late due to reasons unconnected with the
Receiving Bank, which will have absolute liberty to cancel this service if my account does not have
sufficient funds to cover one or more of the payments that are required of the Issuing Bank, or if it were
to be blocked for any reason.

(SIGNATURE) (SIGNATURE)

Cardholders Signature Collaborators Name

Original: Telnor Copy: Client

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