RECURRING CREDIT CARD AUTHORIZATION

Tunnel Baseball by Tunnel Athletics

31 Walnut Street • Haverhill, MA 01830

Child's First & Last Name

Parent's First & Last Name

Phone

Authorization Agreement & Cardholder Consent

By signing this document, I authorize Tunnel Baseball by Tunnel Athletics to process regularly scheduled charges to my credit card. I will be charged the amount indicated below each billing period.

I understand a receipt can be emailed to me upon request and the charge will appear on my bank statement. I agree that no prior notification will be provided unless the date or amount changes, in which case I will receive notice prior to the payment.

I agree to provide a minimum of 15-day notice prior to cancellation of my membership.

Select Membership Type

I authorize Tunnel Baseball by Tunnel Athletics to charge my credit card on the date indicated below and for each recurring payment of my monthly membership dues thereafter.

Card Number

Exp. Date (MM/YY)

CVV

Billing Zip/Postal Code

Cardholder's First Name

Cardholder's Last Name

Today's Date

Month

Day

Year

Authorized Cardholder's Signature