Credit Card Verification Form & Agreement
In order to verify your credit card transaction, please complete and submit the following:
- Please provide the required information and print the form.
- Ensure that the agreement is signed and date.
- Take a photo of the signed form using your smart phone, along with copies of the front and back of your card(s).
- Provide a photo of a valid government issued ID.
- Submit the images of the signed form, credit card(s) and photo ID in JPEG or PDF format to firstname.lastname@example.org.
To ensure we process your documents without delays, we kindly ask that the name, address, card details and signature on the form are clear and legible.