Combined Credit Card and ACH Authorization Form 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by selecting your preferred payment method. Choose either 'Electronic Funds Transfer (EFT)' or 'Credit Card' by checking the appropriate box.
3. For EFT, fill in the required fields: Account Holder Name, ABA Routing Number, Financial Institution Name, and Account Number. Remember to attach a copy of a voided check.
4. Sign and date the authorization for EFT payments at the bottom of that section.
5. If opting for credit card payments, complete the fields for Cardholder Name, Card Type, Credit Card Account Number, Expiration Date, Billing Address, City, State, Zip Code, and CVC Code.
6. Select whether you want recurring payments or a one-time payment by checking the appropriate box and providing any necessary details.
7. Finally, sign and date the authorization for credit card charges at the bottom of that section.

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