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How to write your own Authorization to Charge Credit Card

You can create your own customized editable version of this contract document using Contractors Contract Pack. Follow these steps to get started.


If you require signatures and written approval for charging a customer's credit card use the Authorization to Charge Credit Card form. This form is useful for service agreement charges and also for some product purchases (such as large Internet orders). Having a signature will put you in a better position to contest credit card chargebacks and can help reduce credit card fraud. A signed form is also useful to remind customers who may have forgotten they ordered something from you or did not recognized the company name on their credit card statement.
Document Length: 1 Page
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1. Get Contractors Contract Pack that includes this business contract document.

This Authorization to Charge Credit Card is included in editable Word format that can be customized in Word or by using the included Wizard software.

2. Download and install after ordering.

Once you have ordered and downloaded your Contractors Contract Pack you will have all the content you need to get started with your own formal declaration.

3. Customize the contract template with your own information.

You can customize the contract document as much as you need. You can also use the included Wizard software to automate merging in name/address data.

Authorization to Charge Credit Card

Writing the Authorization to Charge Credit Card document

Credit Card Authorization Form

Company Name authorizes Company Name to charge the following credit card for the specified amount.

Credit Card Details

Enter your credit card details exactly as shown on your credit card and billing statement.

Billing Address:

Credit Card Type (Visa/MC/AMEX/Discover/Diners Club):

Credit Card Number:

Credit Card Expiration Date:

Credit Card CVV2 Security Code: (printed on front or back of card).

Total Amount:

Authorization Signature:

Current Date: Current Date

Fax / Mailing Instructions

Print and Fax this form to:

Company Name Attention: Accounting Dept - Fax Fax Number.

Or print and mail this form to:

Company Name

City, State Postal Code

Important: Email, Adobe PDF, Email Faxes or other Electronic delivery of this form will NOT be accepted.

The complete Authorization to Charge Credit Card - with the actual formatting and layout - is available in this Contract Pack.
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Related documents may be used in conjunction with this document depending on your situation. Many related documents are intended for use as part of a contract management system.

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Proposal Kit

Create winning business proposals & contracts with minimal effort and cost. Proposal software, proposal templates, legal contracts and sample proposals.