Credit Card Authorization Form

Credit Card Authorization Form

Credit card authorization form
Type of card *
Type of WISE membership *
I attest that I have spoken with the credit card owner, that he/she has freely given me his credit card information for the purpose of purchasing EMA Services, that the amount of the service has been confirmed and agreed upon by the credit card owner, that he/she understands that by purchasing EMA services he/she is becoming a member of the EMA, and that I have not changed anything in the above information. *