Credit Card Authorization Form

To put a credit card on file for your account, please contact our customer service department at 800-876-4363 or to provide your payment information. After you have provided your payment details, an authorization form for that credit card will then be generated and emailed or faxed to you, which the cardholder will need to sign and have returned to us in order to update your account.

The information needed in order for us to generate the authorization form would be:
– credit card number
– expiration date
– CVV code from the back of the card
– cardholder name as it appears on the card
– billing address for the card
– fax number or email address where we should send your authorization form to be signed

We accept Visa, Mastercard, or Discover cards.