CREDIT CARD AUTHORISATION FORM

I, ______________________ authorise the Compass Group Ireland to charge the credit card mentioned below for the Meal Plan Programme for (student name):

__________________________. Credit Card Type:

□ Visa □ MasterCard □ American Express □ Laser

Credit Card Number: ____________________________ Exp. Date: ________ 3 digit security number: _______

Name of the credit card’s holder: _________________________

Address of the credit card’s holder: ____________________________________________________________________ ____________________________________________________________________

____________________________________________________________________

Email Address: ________________________________________________________ Please forward this form either by email to chartwells@griffith.ie

Or by post to:

Unit Manager Compass Group Ireland Griffith College Dublin

South Circular Road Dublin 8

Phone: +353 1 4538503 Email: chartwells@griffith.ie