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Authorization Letter to Deduct

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Authorization Letter to Deduct for credit card Holders

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Authorization Letter to Deduct I __________________________, holderof ________________ (name of issuingbank) credit/debitcard bearingno________ expiringon__________ do herebyauthorized PruLife UKtoprocesspaymentfor an amountof __________ for mypolicyno.____________ for the monthof ________ I understandthatthe amountcharged to mycreditcard will be reflected onmycreditcard bank statementwithinsevendaysof authorization.The amountchargesisbasedonmy policymonthly premium. I consentto receive informationregardingthe deductionviaemail________ Signature of Card Holder:_________________________ Date: _________________________ Contact Number: _________________________ Address: _________________________

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Authorization Letter to Deduct

  • 1. Authorization Letter to Deduct I __________________________, holderof ________________ (name of issuingbank) credit/debitcard bearingno________ expiringon__________ do herebyauthorized PruLife UKtoprocesspaymentfor an amountof __________ for mypolicyno.____________ for the monthof ________ I understandthatthe amountcharged to mycreditcard will be reflected onmycreditcard bank statementwithinsevendaysof authorization.The amountchargesisbasedonmy policymonthly premium. I consentto receive informationregardingthe deductionviaemail________ Signature of Card Holder:_________________________ Date: _________________________ Contact Number: _________________________ Address: _________________________