Abcc Enrolment Form - 2017 Page 7
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7ACCOUNT NAME:
ABCC Credit Card Authorisation Form – Vacation Care
Please complete and return to ABCC to allow Vacation Care payments to be deducted from your credit card. Payments will be
deducted as per the Vacation Care Booking Form payment due dates.
I,
, authorise St John’s Anglican College ABCC, to process payment of my ABCC fees as per
the schedule
below.
Signature:
Email address:
Name on Credit Card:
Credit Card No:
/
/
/
Expiry Date:
/
CCV No:
Amount:
$
/ fortnight_
Term 1
Term 2
Date
Amount
Receipt
Processed by
Date
Amount
Receipt
Processed by
28/3/17
13/6/17
4/4/17
20/6/17
11/4/17
27/6/17
4/7/17
Term 3
Term 4
Date
Amount
Receipt
Date
Amount
Receipt
Processed by
Processed by
12/9/17
28/11/17
19/9/17
5/12/17
12/12/17
21/12/17
2/1/18
9/1/18
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St John’s Anglican College ABCC & St John’s EY ABCC
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