How to Write
Step 1 – Download the document – Submit:
- The name of the authorized individual
- Cardholder’s full name
- Merchant’s name
- Enter the amount authorized to be charged to the credit card amount
- Provide the date in which the authorized individual will have permission to make the transaction in mm/dd/yyyy format
- Submit a description of the goods and/or services to be purchased
Step 2 – Billing Information – Provide the following information:
- The cardholder’s billing address
- City, State, Zip Code
- Telephone number
- Email address
Step 3 – Card Details –
- Check the box, indicating the credit card or debit card that shall be used for purchase
- Enter the cardholder’s name
- Account or Credit Card number
- Expiration Date, located on the front of the card in mm/yy format or mm/yyyy for some
- CVV security code – 3 or 4 digits, located on the back of the card
- Enter the zip code to the billing address that is connected to the credit card information
Step 4 – Cardholder’s Signature –
- Once the cardholder’s information has been completed, they must carefully review the authorization statement
- If in agreement, the cardholder must provide their signature
- Date of signature in mm/dd/yyyy format