Credit Card Authorization Form

METL Credit Card Payment Authorization Form

Please fill out the fields below or download the form at the bottom of this page to send it in.

This form is to be treated as confidential when filled out.

Date

Company Name

Name On Credit Card

Billing Address

City

State

ZIP

Contact Name (if different)

Contact Phone Number

Email Address (optional)

Credit Card Type

Visa American Express MasterCard

Credit Card #

CVV

Expiration Date (MM/YY)

Invoice or Order Number(s)

Please Select One

One Time Only Always Upon Request

The authorized cardholder’s signature below hereby authorizes Metals Engineering and Testing Laboratories to process payment using the above credit card for the listed invoice(s) and/or order(s), as per your credit card payment terms. Authorized Cardholder's Signature (Please List Full Name)

METL Credit Card Payment Authorization Form

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