Credit Card Authorization Template

It's good practice to have authorization to charge a client or customer's credit card written into your contract. Here is a sample template:

PAYMENT WITH DEBIT OR CREDIT CARD:

I the undersigned hereby agree to pay the indebtedness incurred by _________________ for the services rendered by Business. I hereby authorize Business to charge my credit card on file for any balance remaining on the above client’s account if not timely paid in full.

__________________            Date:______________________

Signed

Name:

Address:

Phone Number:

Credit Card Type:

Credit Card Number:

Expiration Date:

Name as it appears on card: