Recurring Credit Card Authorization Form | PDF | Word
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The recurring credit card authorization form may be used to create a relationship with a client to engage in payments at an ongoing basis. This is most common on a monthly basis as some people do with cable and cell phone bills. This may be used for any debit or credit card.
How to Fill-in
In order to authorize, the customer must provide his or her
- Name and Company (if any) on Card
- Credit Card Number
- Security Code
- Billing Address
- Telephone Number
- Cardholder’s Signature – Required
It is important to keep the signed document until 120 after the last payment made by the cardholder.
Download (PDF, 62KB)
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