Manual Card Entry Authorisation

I authorise TableBoost Marketing to charge my card for the agreed digital marketing services, including manual card entry (MOTO / card-not-present) transactions.

I confirm that I am the authorised cardholder and understand that this authorisation applies to recurring monthly payments as agreed in the Service Agreement.

  • Cardholder Name: ___________________
  • Card Number (if signed physically): ___________________
  • Expiry Date: __ / __
  • Signature: ___________________
  • Date: ___________________