Credit Card Authorization Form
Two ways to complete the form:
1.) You may submit the online credit card form below
OR
2.) You can download, print, and complete the
credit card authorization form and email to:
vcxpress@comcast.net
(link to download is at the bottom of the page)
or
Fax it to us at: 800-538-9197
Note:We will need a copy of your Driver's license along with the below form
1.) You may submit the online credit card form below
OR
2.) You can download, print, and complete the
credit card authorization form and email to:
vcxpress@comcast.net
(link to download is at the bottom of the page)
or
Fax it to us at: 800-538-9197
Note:We will need a copy of your Driver's license along with the below form
Please note:
There will be a failed payment fee
(an additional charge of 30%)
for declined credit cards
There will be a failed payment fee
(an additional charge of 30%)
for declined credit cards

vcx_credit_card_authorization_form_.pdf | |
File Size: | 170 kb |
File Type: |