Get Recurring Credit Card Authorization Form Form To Be Used - Benefitstore

The Recurring Credit Card Authorization Form is essential for facilitating ongoing payments using a credit card for authorized plans. This guide will provide you with comprehensive, step-by-step instructions to ensure that you fill out the form accurately and efficiently.

Follow the steps to complete the form accurately.

1. Press the ‘Get Form’ button to obtain the Recurring Credit Card Authorization Form and open it in your preferred editor.
2. Fill in the policy number in the designated field to identify your specific agreement.
3. Enter the name of the proposed insured individual accurately as it is needed for processing.
4. Complete the name of the proposed policy owner, ensuring the correct spelling for clarity.
5. Provide a valid e-mail address in the appropriate field. This e-mail will be used to notify you of the recurring credit card setup, charges, and any declines. It is essential to have a valid e-mail to process your request.
6. Input the cardholder's name exactly as it appears on the credit card for identification.
7. Fill out the cardholder billing address accurately, ensuring that all parts of the address are complete.
8. Enter the credit card number, followed by the expiration date to ensure timely processing of payments.
9. Select the type of credit card you are using from the available options: American Express®, MasterCard®, or Visa®.
10. Indicate the premium amount that will be charged on a recurring basis.
11. Choose your payment frequency from the options provided: annual, semi-annual, quarterly, or monthly.
12. Sign the form where indicated, confirming your authorization for the recurring charges, and include the date next to your signature.
13. After completing all sections, save your changes, and proceed to download, print, or share the form as needed.

Complete your recurring payment processes efficiently by filling out the form online today.