Credit Card Authorization Form Template
Build a printable card authorization form for no-show fees, deposits, recurring or one-time payments. Add your details, preview it live and save it as a PDF.
This page never asks for card details. It creates a blank form for you to print or save as PDF. Your customer fills in the card information on paper (or on the PDF) and returns it to you through a secure channel. Nothing you type here is sent anywhere.
Live preview · Letter size. In the print dialog, choose “Save as PDF” to get a PDF.
Business name
Credit Card Authorization Form
Card on File Authorization
Authorization
I, , authorize to keep the card below on file and to charge it according to the policy below if I miss an appointment or cancel it late.
- No-show fee: if I do not attend my appointment without notice.
- Late cancellation fee: if I cancel or reschedule less than 24 hours before my appointment.
I confirm that I am the cardholder or am authorized to use this card, and that I have read and agree to the terms above. This authorization stays valid until I cancel it in writing or it is no longer needed.
Cardholder information
Please do not send this form or any card details by email or text message. Return it in person or through the secure method we give you. We keep signed forms in a secure place and destroy them when they are no longer needed.
For office use: Received by on
When a card authorization form makes sense
Any business that works by appointment loses money when a booked slot stays empty: hair and nail salons, barbershops, spas, auto repair shops, tutors, photographers, fitness studios, consultants. A card on file with a signed authorization lets you charge the no-show or late cancellation fee you already announced, instead of chasing the customer afterwards.
It is also useful for deposits on long or expensive services, for monthly memberships or packages paid automatically, and for one-off charges you take over the phone.
How to use the form well
- Match your public policy. The fees and notice period on the form should be the same ones customers see when they book.
- Collect only what you need. If your terminal already stores the card, keep the last 4 digits option and leave the security code off.
- Get it back securely. In person or through a secure upload, never by email or text message.
- Store it and then destroy it. Keep signed forms locked away and shred them when the authorization is no longer needed.
The paperless alternative: deposits at booking
A paper form still means handling card details. Taking a deposit or the full payment online at the moment of booking removes that step: the customer pays through the payment processor, you never see the card number and the policy is accepted before the booking is confirmed.
Take deposits online instead of keeping card forms
With CitaFlow, customers pay the deposit or the full price with Stripe when they book on your page. No paperwork and no card numbers in a drawer.
7 days free · No credit card required
Frequently Asked Questions
What is a credit card authorization form?
It is a signed document in which a customer gives your business permission to charge their card under specific conditions: a no-show or late cancellation fee, a deposit, a recurring payment or a one-time charge. It records what was agreed, when and by whom, which helps if a charge is ever questioned.
Does this tool collect or store card numbers?
No. The generator only builds a blank form. There is no field on this page for card numbers, expiration dates or security codes; those appear as empty lines in the document that your customer fills in by hand. Your business details and settings stay in your browser.
Can I use it to charge a no-show or late cancellation fee?
Yes. Choose “Card on file”, enter your no-show fee, your late cancellation fee and how many hours of notice you need. The form spells out those conditions next to the customer's signature. Make sure the same policy appears where customers book, so the fee never comes as a surprise.
Should I ask for the full card number or only the last 4 digits?
If the card is already stored in your payment terminal or processor, the last 4 digits are enough to identify it, and the paper form carries far less risk. Ask for the full number only if you plan to key the payment in by hand, and then treat the signed form as a sensitive document.
How should I store signed authorization forms?
Never ask customers to email full card numbers, and do not send them by email or chat yourself. Keep paper forms in a locked place that only authorized staff can open, keep digital copies out of shared folders, black out or destroy the security code once the payment is authorized, and shred forms when you no longer need them. Follow your payment processor's instructions and the PCI DSS guidance for card data; this tool does not replace legal or compliance advice.
How do I turn the form into a PDF?
Click “Print / Save as PDF” and choose “Save as PDF” as the printer. The layout is set for Letter paper. You can also download the form as an .html file and print it again later from any browser.
Is there an alternative to paper authorization forms?
Yes: take the deposit or the full payment online when the customer books. The card is handled by the payment processor, so you never see or store the number. CitaFlow does this with Stripe on your booking page.