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The Credit Card Authorization Form is a critical document used in Belgian business transactions to obtain formal permission from cardholders for processing credit card payments. It serves as a legal agreement between merchants and customers, enabling businesses to charge credit cards for one-time or recurring payments. This document must comply with Belgian financial regulations, EU Payment Services Directive 2 (PSD2), and GDPR requirements for data protection. It's particularly important for businesses operating in Belgium that need to process credit card payments securely and legally, whether for immediate transactions, recurring billing, or future authorized charges. The form includes essential elements such as cardholder information, payment details, authorization terms, and required disclosures under Belgian law.

1. Cardholder Information: Complete details of the cardholder including full name, billing address, and contact information as required by Belgian financial regulations

2. Merchant Information: Details of the business/merchant receiving the authorization, including legal business name, registration number, and contact details

3. Card Details: Secure section for credit card information including card type, number (typically last 4 digits only), expiration date, and security code fields

4. Authorization Terms: Clear statement of the authorization being granted, including payment amount(s), frequency, and duration of the authorization

5. Data Protection Notice: GDPR-compliant disclosure about how card and personal data will be collected, processed, stored, and protected

6. Security Declarations: Statements confirming the cardholder's authority to authorize payments and the truthfulness of provided information

7. Signature Block: Space for cardholder signature (physical or electronic) and date, meeting Belgian electronic signature requirements