Credit Card Authorization

CREDIT CARD AUTHORIZATION FORM
Please complete all fields.
Card Type:

Other
Cardholder Name (as shown on card):
Card Number
Expiration Date:

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Cardholder Zip Code (billing address):
CVV
I, {cardholdername} authorize King's School of Ministry / King's Cathedral and Chapels, to charge my credit card for agreed upon transactions on my financial agreement. I understand that my information will be saved to file for future transactions on my account.
Signature:
Should be Empty:

CREDIT CARD AUTHORIZATION FORM