Credit Card Authorization

1. Please download the Authorization to Charge Credit Card Form using the following link http://legals.jaxdailyrecord.com/cc_auth.pdf.

2. Fill out the form and save the completed form to your desktop.

3. Upload the completed authorization form by using the file upload form below or fax to 904-353-2628..

DO NOT SUBMIT THIS FORM BY E-MAIL!

Secure File Upload

For assistance please call (904) 356-2466.