Get Credit And Debit Card Authorization Form 2013-1 - 5dimes

Completing the credit and debit card authorization form is essential for ensuring secure transactions with 5dimes. This guide provides clear, step-by-step instructions to help you fill out the form accurately and confidently.

Follow the steps to complete the form successfully.

1. Click ‘Get Form’ button to obtain the form and open it in your preferred editor.
2. Fill in your customer information. Include your customer ID number, valid phone number, address, city, state, and ZIP code. Ensure your phone number is accurate as you may be contacted for verification purposes.
3. Enter your credit card details. Write the credit card number and the expiration date accurately. Ensure the card is under your name as only cards belonging to the account holder can be used for deposits.
4. Provide your authorization statement. Sign and date the form where indicated to authorize 5dimes to charge your credit/debit card for your account.
5. Prepare your supporting documents, including the front of your credit card, a utility bill, and a valid government-issued ID. Ensure they are scanned or photographed clearly and accurately.
6. Submit the completed form along with your documents via email to certification@5dimes.eu or by faxing to 1-800-559-7417.
7. After submitting, retain a copy of the completed form and documents for your records. Check for any communication from 5dimes regarding your authorization.

Get started on filling out your documents online today!