Get the free Credit Card Authorization Form (PDF) - City of Millbrae

CREDIT CARD AUTHORIZATION FORM PLEASE COMPLETE, PRINT OR EMAIL THIS AUTHORIZATION FORM. MAIL TO: 150 S. PALM AVE., RIALTO, CA, 92376 EMAIL: CITYBL@RIALTOCA.GOV ONLY VISA AND MASTERCARD ACCEPTEDReference

How to fill out credit card authorization form

How to fill out credit card authorization form

1. Start with your personal information, including your name and address.
2. Enter your credit card details, including the card number, expiration date, and security code.
3. Provide the name of the cardholder (if different from the person filling out the form).
4. Include the billing address associated with the credit card.
5. State the amount you wish to authorize for payment.
6. Indicate the purpose of the authorization (e.g., services or goods being provided).
7. Sign and date the form to confirm your authorization.

Who needs credit card authorization form?

1. Businesses that require payment processing for services or products.
2. Merchants who need to confirm a customer's payment method.
3. Service providers that require a guarantee of payment upfront.
4. Individuals making purchases where cardholder verification is required.

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What is credit card authorization form?

A credit card authorization form is a document used to obtain permission from a cardholder to charge their credit card for a specific amount or for recurring payments.

Who is required to file credit card authorization form?

Typically, businesses or service providers that intend to charge a customer's credit card for goods, services, or recurring payments must file a credit card authorization form.

How to fill out credit card authorization form?

To fill out a credit card authorization form, provide the cardholder's name, billing address, credit card number, expiration date, CVV, the amount to be charged, and the cardholder's signature authorizing the transaction.

What is the purpose of credit card authorization form?

The purpose of a credit card authorization form is to protect both the merchant and the customer by legally documenting the customer's consent to charge their credit card.

What information must be reported on credit card authorization form?

The information that must be reported includes the cardholder's name, credit card number, expiration date, service or product being paid for, the total amount to be charged, and the cardholder's signature.