Debit Card Authorization Form Please complete all fields. You may cancel this authorization at any time by contacting us. This authorization will remain in effect until cancelled. Card Type: * MasterCardVISAOther Cardholder Name (as shown on card): * Card Number: * Expiration Date (mm/yy): * CVV (card verification value) or CVC (card verification code): * Cardholder ZIP Code (from credit card billing address): * Title Name: * Title Total Price: * Pay Amount: * Pay full amount Now6 X monthly Payments of12 X monthly Payments of I, “the above named” confirm I am the legal owner of the “above named” bank card, I authorize Noble Titles from Court of Nobility to charge my credit/debit bank card above for agreed upon purchases. I understand that my information will be saved to file for future transactions on my account.: Contract of Purchase – I accept that I am entering into a contract to remove a title from sale from Court of Nobility for the purpose of buying said Title, as such I understand that any payments for removal of Titles from Court of Nobility will be NON-REFUNDABLE. I understand that Court of Nobility and Noble Titles are trading names of GJF Baron Nobilis Services Limited (a European Cyprus registered company). I understand that payments will be made in Euros. I accept that ownership of the said title will be mine only when the final payment is made.: Customer Signature Upload Your Signature: * You can generator your signature from here https://www.signwell.com/online-signature/draw/ Date: * Your Email: * Anti-bot validation *
