Get Payment Authorization Website Access Information

This guide provides a detailed overview of filling out the Payment Authorization Website Access Information form online. Whether you are a seasoned collector or new to the process, these steps will help ensure accurate completion.

Follow the steps to accurately complete your form

1. Click ‘Get Form’ button to obtain the form and open it in the online editor.
2. Select your collecting interest by choosing between coins or paper money.
3. Fill in your name and ANA membership number in the designated fields.
4. Enter your address details, including city, state, and zip code.
5. Provide your phone number and optional fax number.
6. Enter your birthdate in the specified format.
7. Input your email address, which will serve as your username, and create a password.
8. Optionally, enter your mother's maiden name for security purposes.
9. Specify a public name, which will be displayed when you have sets in the Registry.
10. Select the type of credit card you will use for payment and provide the account number and expiration date.
11. If your billing address is different from the one provided, enter the relevant name and address details.
12. Read and acknowledge the credit card approval and release section by signing and dating the form.
13. Review the Authorized Submitter Agreement, ensuring that you understand and agree to the terms.
14. Once all sections are filled out, save your changes, then download or print the form for submission.

Complete and submit your Payment Authorization Website Access Information online today.