Credit Card Authorization Form

Securely Update Your Credit Card on File

Payment Method Update Request
To protect your payment information, SecureSearch uses a secure, encrypted process to update your card on file. No card data is collected through this form. After submitting, our billing team will send you a secure link via email within 1-2 business days to safely update your payment method through our encrypted payment processor.
Customer/Business Name*
Reason for Update*
AUTHORIZED BY:
By completing this form, you authorize SecureSearch to initiate a secure payment method update for your account. A secure link will be sent to your email address to complete the process.
Authorized By:*
Your Title/Position*
Authorization Statement*
- I am an authorized representative of the organization named above. I hereby authorize SecureSearch to update the credit card on file and charge it for all monthly invoices and per-search fees until a new authorization is submitted.
Authorized Digital Signature*
Contact Email*
Phone*
Is the Contact above a New Invoice/ACCOUNTS PAYABLE Contact?*
- Yes
- No
Is this card to be used Organization-Wide?*
- Yes
- No
Today's Date*
Month
Day
Year