Credit Card Form

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Agent Credit Card Information Printable Form

To be faxed

If you are ordering from us for the fist time, or you have elected to not have your credit card information kept on file, please fill out this form, print it, and fax to (828) 253-9755.

DO NOT email your credit card information as it is not a secure method of transmission.

Agent Credit Card Information

Name On Card:

Credit Card Number:

Expiration Date:

CVV:

Billing Address

Street:

City:

State:

Zip:

Agent Name:

Company Name:

Agent Email Address:

Agent Phone Number:

Property Address

Street:

City:

State:

Zip:

I hereby authorize TransCarolina Marketing to charge the above credit card for the cost of MLS Exterior Photos, Side Show(s), Virtual Tour(s), Extra Scene(s), Window Enhancements, and/or Cancellation/No Show Fees.

Signature:

Date: