CC Authorization Page | Sunrise Networking Group

Credit Card Authorization & Electronic Funds Transfer

Sunrise Networking Group has (six) two-month billing periods per year: Jan/Feb, Mar/Apr, May/Jun, Jul/Aug, Sep/Oct, Nov/Dec. Charges are processed on the 15th of the month prior to each two-month billing period. We offer an auto-pay process, which is our preferred method of payment. Your first dues payment is prorated according to when you join.

Payment Method — I choose to make payments by:

Credit Card (Preferred) Processed on/about the 15th of the month prior to billing period Electronic Funds Transfer (EFT) Processed on/about the 15th of the month prior to billing period

Please complete the information below.

Cardholder Name (Business or Individual) *

Credit Card Account Number *

Card Type

MC/Visa Amex Discover

Expiration Date (MM/YR) *

CVC Code *

Cardholder Billing Street Address *

City *

State *

Zip *

Please complete the information below AND attach a copy of a voided check (email to CSultes@sunrisenetworkinggroup.com).

Account Type

Checking Savings

Account Name (Business or Individual) *

ABA Routing Number *

Account Number *

Financial Institution at Which Account Is Held *

Authorization

I authorize the Sunrise Networking Group to perform an Electronic Funds Transfer (EFT) or process my CC monthly for products and services. Should my credit card, checking/savings account information change I will promptly provide Sunrise Networking Group with updated information. I may ONLY revoke this authorization with 10 days' advance written notice to Sunrise Networking Group. I agree that there will be no refunds or partial payments by Sunrise Networking Group for early termination.

Account Holder's Signature (type full name) *

Date *

*Sunrise Networking Group LLC will safeguard the above confidential information and use it only for the above noted purpose; it will not be released to any unauthorized parties. SNG Corporate Headquarters Phone: (586) 232-3009.