International Pet and Animal Transportation Association

Credit Card Authorization Form

Credit card payments are limited to $5,000 or less. For payments over this amount, please forward payment by wire transfer, ACH or by mailing a check.

Company Information

Company Name
Your Name
Your Address
Your Postal or Zipcode
Your Email
Amount Admin Fee: Total to be charged:
Purpose of Charge

Credit Card Information

Please select credit card Master Card Visa Amex
Expire Date
Card Number
Name on Card
CVV Number
Street Address 1:
Street Address 2:
City
State
Zip
Country

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