Credit Card Payment Authorization Form
Credit Card Authorization Form

Credit Card Authorization Form

 

A credit card authorization form is a document, signed by a cardholder, giving you the merchant permission to charge a specified amount to their credit card or debit card. A recurring credit card authorization form gives permission to charge a card monthly or on some other regular schedule. This signed document helps protect your business against chargebacks, in case the cardholder attempts to report a fraudulent or unauthorized transaction and have the charge reversed.

I authorize the above named business to charge the credit card indicated in this authorization form according to the terms outlined above. This payment authorization is for the goods/services described above, for the amount indicated above only, and is valid for one time use only. I certify that I am an authorized user of this credit card and that I will not dispute the payment with my credit card company; so long as the transaction corresponds to the terms indicated in this form.

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 One Time Payment                               Recurring Payments

 

 

NOTICE: These forms are provided for informational purposes only and are editable Microsoft Word Documents.

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