Credit Card Verification Agreement
Simply complete the following agreement form to verify your credit card.
- Fill in all of the required information and print the form.
- Date and sign the completed form.
Take a photo of the front and back of your credit card(s) and the signed form using your smartphone.
As well, take a photo of a valid government issued photo ID.
- Send us the photos of the signed completed agreement, credit card(s) and a copy of your government issued photo ID in JPEG or PDF format to firstname.lastname@example.org.
To avoid delays in the verification process ensure that your name, address, credit card number and signatures on the documents you’re submitting are clearly legible.
IMPORTANT: Carefully read the following before signing and dating the agreement.
By submitting the signed and dated agreement and the additional required documentation, I am authorizing and fully acknowledging the following:
- I acknowledge this account was registered using my personal information and all transactions were initiated and authorized personally, using the above credit card.
- I agree all transactions made in my account will be paid in full.
- I agree any and all uncollected purchases or delinquent accounts are subject to 3rd party credit reporting and collections.
- I am over 18 years of age or older.
- I have read and accepted the terms described in the Transaction Processing Agreement.