Complete, sign, and mail or fax if paying with credit card, complete credit card payment authorization on page 3
Use a COMPLETE, PRINT, SIGN, AND MAIL OR FAX If Paying With Credit Card, Complete Credit Card Payment Authorization On Page 3 2015 template to make your document workflow more streamlined.
What this payment authorization page does
This page authorizes a payment by credit card when the completed form must be mailed or faxed. It records the cardholder’s identifying information, payment amount, card details, billing information, signature, and date so the recipient can process the stated charge. Complete every required field exactly as requested, review the authorization amount, and follow the form’s delivery instruction. Because card data is sensitive, send the page only through the recipient’s approved channel and retain a copy of the signed authorization and transmission record.
Who uses this payment authorization page
Business payers
Organizations use this authorization page when a service, application, or transaction requires card payment details and a signed approval. Complete the requested payer information, review the amount, and follow the stated mailing or fax instructions.
Cardholders
Individuals and authorized representatives use the page to approve a specific credit card charge. Keep a copy of the completed authorization and confirm whether the recipient requires the original by mail or fax.
How the page three workflow works
Use this sequence to prepare the credit card authorization without changing the recipient’s required delivery method.
Upload form: Upload the form and identify the page three authorization fields. Check fields: Review detected fields, then add or correct payer and signature fields. Complete and sign: Complete card authorization details and sign the designated page. Send authorization: Download the signed page and mail or fax it as instructed.
Steps to complete page three
Follow these steps to complete, sign, and deliver the credit card authorization without omitting the required paper or fax step.
Upload form:
Upload the form to signNow. Review fields:
Review page three and confirm the authorization fields. Enter details:
Enter the payment information requested by the form. Sign authorization:
Apply the signature and signing date. Download copy:
Download the signed page for delivery. Deliver page:
Mail or fax it using the stated instructions.
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Recommended setup for page three
Use a controlled signing and recordkeeping workflow that preserves the authorization, signing event, and required mail or fax evidence.
| Setting | Recommendation |
|---|---|
| Authentication method | Email link with SMS verification |
| Signature type | Typed or drawn electronic signature |
| Audit trail | Enable document history and completion record |
| Document retention | Follow recipient and transaction policy |
| Encryption | TLS in transit and AES-256 at rest |
Features that support accurate completion
The page combines structured payment details, a signed authorization, and an offline delivery instruction that must be followed after completion.
Complete fields
Enter the payer name, billing address, contact details, and payment amount directly in the authorization fields so the recipient can match the approval to the requested transaction.
Check card data
Review the card number, expiration date, security information, and billing details before signing to reduce processing delays caused by incomplete payment information.
Sign page three
Use signNow to place the signature and date in the authorization area, preserving the completed page as a clear record of the approval.
Follow delivery instructions
Follow the form’s instruction to mail or fax the authorization after signing. The delivery method matters because this page is not described as an electronic submission.
Keep records
Keep the signed page, confirmation of transmission, and any recipient correspondence together so the approved amount and delivery history remain identifiable.
Protect card data
Limit access to the completed page because it contains payment-card information. Send it only to the named recipient through an approved channel.
Find and fill out the correct complete print sign and mail or fax if paying with credit card complete credit card payment authorization on page 3
airSlate SignNow helps you fill in and sign documents in minutes, error-free. Choose the correct version of the editable PDF form from the list and get started filling it out.
| Versions | Form popularity | Fillable & printable |
|---|---|---|
| ND SFN 13401 2015 | 4.8 Satisfied (379 Votes) | |
| ND SFN 13401 1999 | 4.8 Satisfied (383 Votes) |
Challenges when completing the authorization
A missing signature or date can prevent the recipient from treating the page three authorization as approval for the stated credit card charge. An incorrect billing address, card number, or expiration date can cause the recipient’s payment processor to reject the authorization. Sending the signed page to the wrong fax number or mailing address can disclose card data and delay payment processing. Changing the authorized amount after signing can create a dispute between the cardholder and the recipient about the approved charge.
What the signNow audit trail records
The audit trail helps connect the page three authorization to the signer, signing event, document history, and retained completed record.
Signer authentication:
Timestamp capture:
Document history:
Completion sealing:
Action linkage:
Audit retrieval:
Security for the authorization record
Transport encryption:
Stored data:
Card protection:
Service assurance:
Security certification:
Electronic signatures:
Legal standing of the signed authorization
A signed payment authorization may be evidence when the signer intended to sign, consented to electronic records, can be identified, and the record can be retained and reproduced under ESIGN and applicable UETA rules. Those laws do not cover wills, codicils, testamentary trusts, or certain court filings; this authorization remains subject to the recipient’s procedures.
Troubleshooting this credit card authorization
These answers address page three completion, signNow plan capabilities, electronic consent, card-data protection, and retention decisions for this authorization.
Use signNow’s field review to inspect page three after upload, then manually confirm every card authorization field. Auto-detection can identify fillable areas, but the signer remains responsible for correcting misplaced or missing fields before signing.
Business is $8 per user per month when billed annually and includes legally binding eSignatures, audit trails, templates, and mobile apps. The signNow ground truth lists 100 signature invites per user annually for subscription plans, with overage fees.
Business Premium is $15 per user per month when billed annually and adds bulk send, kiosk mode, request payments, and quick invite links. It may suit repeated authorization workflows, but the page still requires mail or fax delivery.
The authorization contains payment-card information, so restrict access and use an approved transmission process. signNow is PCI DSS certified, but certification does not replace the recipient’s specific fax, mailing, or card-handling instructions.
For a consumer-facing electronic record, ESIGN requires disclosure of the right to paper records, access to the electronic format, and a withdrawal procedure under 15 U.S.C. §7001(c). Obtain the required consent before relying on electronic delivery or signing.
The signed page can be retained with its audit trail and transmission evidence. No universal retention period is supplied for this authorization; apply the recipient’s policy and any transaction-specific federal or state requirement rather than inventing a deadline.
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