CREDIT CARD PAYMENT FORM
Accounting Department | acct@trutemps.com | (915) 320-9005
Complete and sign this form to pay your TruTEMPS invoice(s) by credit card.
CLIENT AND INVOICE INFORMATION
CLIENT COMPANY NAME
*
INVOICE NUMBER(S)
*
INVOICE AMOUNT
*
3% CREDIT CARD SERVICE CHARGE
TOTAL TO BE CHARGED
Credit cards only.
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USD
Description
Debit or Credit Card
Credit Card Number
Security Code
Expiration Month
January
February
March
April
May
June
July
August
September
October
November
December
Expiration Month
Expiration Year
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
2037
2038
2039
2040
2041
2042
2043
2044
2045
Expiration Year
3% CREDIT CARD SERVICE CHARGE
A 3% service charge is automatically added to all credit card payments. This charge is not greater than our cost of accepting credit cards.
PAY WITHOUT THE SERVICE CHARGE
ACH
Email acct@trutemps.com to request the ACH payment form and it will be sent to you.
Zelle
Send payment to bank@trutemps.com and include your invoice number(s) in the memo.
AUTHORIZATION
By signing below, I confirm that I am authorized to make this payment on behalf of the company named above, and I authorize TruTEMPS, Inc. to charge the total shown above, including the 3% credit card service charge.
NAME OF PERSON COMPLETING FORM
*
First Name
Last Name
TITLE
*
SIGNATURE
*
DATE
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
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