Get Payment Authorization Form Template

Filling out the Payment Authorization Form Template online allows for seamless automatic billing. Follow this guide to ensure that you complete all necessary fields accurately, facilitating a streamlined process for recurring payments.

Follow the steps to complete the form effectively.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by entering your name in the field labeled 'Rotarian’s Name.' Ensure you print your name clearly.
3. Provide your email address and phone number in the designated fields. Double-check for accuracy to ensure timely communication.
4. In the payment information section, check the authorization box to give permission for automatic billing of the specified card.
5. Clearly describe the product or service for which the payment is being authorized in the provided line.
6. Specify the recurring amount that will be charged and ensure that it reflects the agreed price.
7. Select the frequency of the payment by checking either 'Monthly' or 'Quarterly' as applicable.
8. Indicate the start date for the recurring payments by filling in the month, day, and year in the relevant fields.
9. If applicable, fill out the end date for the authorization payments; otherwise, check the option for 'No end date.'
10. Proceed to fill in your credit card information, including selecting the card type and entering the cardholder name exactly as it appears on the card.
11. Input the credit card number and expiration date, ensuring all numbers are correct to avoid billing issues.
12. If you want to receive notifications via email when your card is charged, make sure the email provided is accurate.
13. Finally, sign and date the document in the designated signature and date fields to complete your form.
14. Once you have completed all sections, save your changes, and choose to download, print, or share the form as needed.

Complete your documents online for a hassle-free experience.