Credit Card Verification Agreement
To verify a credit card, please complete the agreement below:
- Please enter the required information and print the form.
- Sign and date the bottom of the agreement.
- Using your smart phone take a photo of the signed form, along with the front and back copies of your credit card(s).
- 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 processing delays, please ensure that the name, address, credit card number and signature on your submitted documents are clearly legible.