Ph: (830) 393-4567
1712 D Street, Floresville TX 78114
Home » Resources » Hospital Forms » Credit Card Authorization Form
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In order to reduce charge backs, it is necessary to have a completed credit card authorization form. Also, it is critical to capture an AVS (Address Verification System) match when processing the transaction. Entering the billing zip code lowers risk further and a proof of Identification (Driver’s license or Identification card) is required. We will not keep cards on file and after Card is accepted and transaction is approved the Credit Card info will be deleted.
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