Form preview

Get the free credit card authorization form - VITAC

Get Form
CREDIT CARD AUTHORIZATION FORM Please provide VITAL with permission to accept and bill your charge card when services are rendered. Complete all ends, sign, date and return via fax or mail. If you
We are not affiliated with any brand or entity on this form

Get, Create, Make and Sign credit card authorization form

Edit
Edit your credit card authorization form form online
Type text, complete fillable fields, insert images, highlight or blackout data for discretion, add comments, and more.
Add
Add your legally-binding signature
Draw or type your signature, upload a signature image, or capture it with your digital camera.
Share
Share your form instantly
Email, fax, or share your credit card authorization form form via URL. You can also download, print, or export forms to your preferred cloud storage service.

Editing credit card authorization form online

9.5
Ease of Setup
pdfFiller User Ratings on G2
9.0
Ease of Use
pdfFiller User Ratings on G2
Use the instructions below to start using our professional PDF editor:
1
Set up an account. If you are a new user, click Start Free Trial and establish a profile.
2
Simply add a document. Select Add New from your Dashboard and import a file into the system by uploading it from your device or importing it via the cloud, online, or internal mail. Then click Begin editing.
3
Edit credit card authorization form. Add and replace text, insert new objects, rearrange pages, add watermarks and page numbers, and more. Click Done when you are finished editing and go to the Documents tab to merge, split, lock or unlock the file.
4
Get your file. When you find your file in the docs list, click on its name and choose how you want to save it. To get the PDF, you can save it, send an email with it, or move it to the cloud.
pdfFiller makes working with documents easier than you could ever imagine. Register for an account and see for yourself!

Uncompromising security for your PDF editing and eSignature needs

Your private information is safe with pdfFiller. We employ end-to-end encryption, secure cloud storage, and advanced access control to protect your documents and maintain regulatory compliance.
GDPR
AICPA SOC 2
PCI
HIPAA
CCPA
FDA

How to fill out credit card authorization form

Illustration

How to fill out credit card authorization form

01
To fill out a credit card authorization form, follow these steps:
02
Start by entering your personal information, such as your name, address, and phone number.
03
Provide the details of the credit card you want to authorize, including the card number, expiration date, and cardholder name.
04
If necessary, specify the amount you wish to authorize on the form.
05
Sign the form to confirm your authorization.
06
Double-check all the entered information for accuracy before submitting the form.

Who needs credit card authorization form?

01
Credit card authorization forms are typically required by businesses that need to process payments using credit cards.
02
Examples of entities that may require credit card authorization forms include hotels, car rental companies, travel agencies, and online merchants.
03
These forms are used to ensure that the cardholder has given consent for their credit card to be charged for a specific transaction or set of transactions.
04
Additionally, individual consumers may also need a credit card authorization form when authorizing someone else to use their credit card on their behalf.
Fill form : Try Risk Free
Users Most Likely To Recommend - Summer 2025
Grid Leader in Small-Business - Summer 2025
High Performer - Summer 2025
Regional Leader - Summer 2025
Easiest To Do Business With - Summer 2025
Best Meets Requirements- Summer 2025
Rate the form
4.2
Satisfied
57 Votes

For pdfFiller’s FAQs

Below is a list of the most common customer questions. If you can’t find an answer to your question, please don’t hesitate to reach out to us.

pdfFiller not only allows you to edit the content of your files but fully rearrange them by changing the number and sequence of pages. Upload your credit card authorization form to the editor and make any required adjustments in a couple of clicks. The editor enables you to blackout, type, and erase text in PDFs, add images, sticky notes and text boxes, and much more.
Install the pdfFiller Google Chrome Extension in your web browser to begin editing credit card authorization form and other documents right from a Google search page. When you examine your documents in Chrome, you may make changes to them. With pdfFiller, you can create fillable documents and update existing PDFs from any internet-connected device.
Install the pdfFiller app on your iOS device to fill out papers. If you have a subscription to the service, create an account or log in to an existing one. After completing the registration process, upload your credit card authorization form. You may now use pdfFiller's advanced features, such as adding fillable fields and eSigning documents, and accessing them from any device, wherever you are.
Credit card authorization form is a document that grants permission to a merchant to charge a customer's credit card for goods or services.
Any individual or business that wishes to accept payments via credit card may be required to file a credit card authorization form.
To fill out a credit card authorization form, you will need to provide your credit card information, such as card number, expiration date, and CVV code, along with the amount to be charged and your signature.
The purpose of a credit card authorization form is to ensure that the cardholder gives consent for a specific amount to be charged to their credit card.
The information reported on a credit card authorization form typically includes the cardholder's name, credit card number, expiration date, CVV code, amount to be charged, and signature.
Fill out your credit card authorization form online with pdfFiller!

pdfFiller is an end-to-end solution for managing, creating, and editing documents and forms in the cloud. Save time and hassle by preparing your tax forms online.

Get started now
Form preview
If you believe that this page should be taken down, please follow our DMCA take down process here .
This form may include fields for payment information. Data entered in these fields is not covered by PCI DSS compliance.