RETAIL CREDIT CARD AUTHORIZATION FORM

Secure Sockets Layer, or SSL, is a technology that secures the connection between your browser and the website you’re visiting.

All of our forms use this security.

This means that visitors can navigate our website and submit information through a secure connection.

SSL provides three important security benefits:

  • Privacy: Encrypts the connection between the browser and web server and securely transmits information (like login credentials) to prevent unauthorized parties from eavesdropping.

  • Data integrity: Prevents unauthorized parties from altering data during transmission (like during a Form Block submission).

  • Authentication: Protects against impersonation by requiring web server proof of identity.

Name on Credit Card *
Name on Credit Card
Billing Address *
Billing Address
Phone Number *
Phone Number
3-4 Digit Code on Card
Shipping Address *
Shipping Address
Today's Date
Today's Date