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PRE-AUTHORIZED CREDIT CARD PAYMENTS
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Step
1
of 2
Internet Lightspeed Account Holder
*
Internet Lightspeed Account Number (4 to 7 digits)
*
(can be found on either the top right, or bottom left, of your invoices)
Email Address
*
Telephone Number
*
Next
Credit card issuers require us to submit identical address and identification information to what they have on file when processing a payment. Please provide exactly what your credit card company has on file for your account.
If their information has Road and you provide us Rd. it may be rejected.
Full Name (as it appears on your credit card)
*
Complete Address (on file with your credit card company)
*
Credit Card Number
*
Numbers only - DO NOT INCLUDE SPACES
Expiry Month
01
02
03
04
05
06
07
08
09
10
11
12
Expiry Year
2022
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
CVV (3 or 4 digit code)
*
Authorization
*
Automated Payments (Use this credit card for all my Internet Lightspeed purchases)
On Demand (Your credit card will only be processed when you call and authorize a payment)
Authorized Signature
*
Clear Signature
Please use finger, stylus or mouse to sign this document.
To protect you an Internet Lightspeed Team Member may contact the Account Holder to verify this information and/or your identity.
Phone
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