& Wedding Videography & Photography
Sample Wedding Videos & Photography
Credit Card Authorization
Credit Card Authorization Form
Please complete this credit authorization section if you choose to pay via credit card. All information will remain confidential.
Type of Credit Card (Select One)
Credit Card #
Credit Card Zip Code
Card Expiration Date (MM/DD/YEAR)
Security Code (3-digit code on back of card)
Security Code (4-digit code for AMEX Card)
to charge the agreed amount to my credit/debit card provided herein. I agree that I will pay for this purchase in accordance with the issuing bank cardholder agreement.
Cardholder Digital Signature
Submit for Processing
© 2017 PCM Productions, All Rights Reserved