CHECK LIST - Shawnigan Lake School
CHECK LIST - Shawnigan Lake School
CHECK LIST - Shawnigan Lake School
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CREDIT CARD AUTHORIZATION<br />
2013 - 2014<br />
Extraordinary Charges (non-recurring)<br />
Must be authorized by email to: hmacintosh@shawnigan.ca<br />
Monthly Statement Balances<br />
Parents may authorize the <strong>School</strong> to charge their Visa, MasterCard, or AMX accounts for monthly<br />
billings.<br />
STUDENT NAME:<br />
PARENTS’ PHONE:<br />
Please note that the credit card service charges, at approximately 3%, will be added to your<br />
account if these services are used.<br />
VISA MASTERCARD AMERICAN EXPRESS<br />
ACCOUNT #<br />
CARDHOLDER'S NAME:<br />
EXPIRY DATE:<br />
SIGNATURE:<br />
<strong>Shawnigan</strong> <strong>Lake</strong> <strong>School</strong> is hereby authorized to charge my Credit Card<br />
for billings during the period September 1 st , 2013 to July 15 th , 2014.<br />
Transportation<br />
Parents may authorize the <strong>School</strong> to charge their Visa, MasterCard, or AMX accounts for travel<br />
arrangements. Please note that the credit card service charges, at approximately 3%, will be<br />
added to your account if this service is used.<br />
VISA MASTERCARD AMERICAN EXPRESS<br />
ACCOUNT #<br />
CARDHOLDER'S NAME:<br />
EXPIRY DATE:<br />
SIGNATURE:<br />
<strong>Shawnigan</strong> <strong>Lake</strong> <strong>School</strong> is hereby authorized to charge my Credit Card<br />
for travel during the period September 1 st , 2013 to July 15 th , 2014.<br />
Safeguarding personal information is a fundamental concern of <strong>Shawnigan</strong> <strong>Lake</strong> <strong>School</strong>. The <strong>School</strong> does not<br />
sell, lease or trade information about you to other parties and is committed to meeting or exceeding the privacy<br />
standards established by British Columbia’s Personal Information Protection Act (PIPA) and any other<br />
applicable legislation. A full copy of the <strong>School</strong>’s Privacy Policy is available from the Business Office<br />
<strong>Shawnigan</strong> <strong>Lake</strong> <strong>School</strong> 1975 Renfrew Road <strong>Shawnigan</strong> <strong>Lake</strong>, BC V0R 2W1<br />
Phone: (250) 743-5516 Fax: (250) 743-6200