Fillable Credit Card Payment Authorization Form - OK . gov - ok

Description
Credit Card Payment Authorization Form Please obtain the following pertinent information *CARD NUMBER *EXPIRATION DATE MO. YR *VCODE Verification Code (VCODE) - A 3-4 digit, non embossed number found on card signature panel or near embossed number on front. *Name on credit card Your name as it appears on the card and the name of your organization (if applicable) *Billing address *Zip code Telephone No. *Amount: *...
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