How to have Payment Authorization Form

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    Asked on September 11, 2015 at 12:56 PM

    I want to create a Credit Card Authorization Form. That requests customer info and credit card info and of course, their consent/authorization to charge their credit card. It needs to be a fillable form that can be filled -in on a cell phone by our construction contractors in the field who may need to suddenly purchase equipment from us. All we want them to do is fill in the form with their confidential info and with their cell phone send it back to us with their consent, as well as with a photo of the front and back of the credit card and driver's licence. Then upon receiving that and verifying their identity (as best we can) we will then manually process their payment with our credit card terminal at our Order Desk. This IS NOT an actual payment processing form or order form but only has fields for the info we would require from them to set up a customer account and get their recit card number and authorization for whenever they're placing orders with us. Therefore it is not connecting or integrating with any database anywhere nor payment processor. They would only fill in the form and send it right back to us with the photos attached. The key thing is that it can be filled in, signed and sent back to us along with photo attachments, making it easy for someone in the field who doesn't have access to a scanner or email on a computer to send us this info. WE have other means for secure data transmission for other customers we have, but for this in the file scenario we need to get their Credit Card AUthorization simply and easily via any cell phone.

    Can this be created to work as I've described? It's the only form we'd need to create. We want to have this type available for those in the field. We have other means for other customers that are secure and encrypted. But this one is to be only as described.

    If so, please contact me asap. Thx. I can be reached at 403-236-1155 if it's best for you to phone me to discuss anything further. Your demo seemed to be for some other entirely different scenario that we're looking for. In essence, ours is even simpler, but I just need to know if it can still be done or is this not possible as your forms are only meant to integrate with other service providers for different purposes or to be forms on websites. Ours is ONLY for verification and consent purposes. We email it to them, they fill it in and sign it and send it back to us with some photo attachments.

    I hope to hear from you soon. Thanks very much,



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    Answered on September 11, 2015 at 01:58 PM

    you can't do that on this site  TOS

    Phishing You agree that Company may terminate your JotForm Service immediately if a form is created or JotForm is found to be used to: Obtain credit cards sensitive information, get social security numbers, show content with child pornography. Or if a form was made to steal user login credentials. All these activities are considered as Phishing and any account along with the guilty forms will be suspended immediately"

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    Answered on September 11, 2015 at 09:15 PM

    Hi Daryl,

    Unfortunately you cannot create the form you described using our Form Builder.

    The Phishing Filter in place will only always detect such form as a phishing form due to violation of the JotForm Terms of Use.

    If you need to get CC account information from your would be users (for CC Authorization), you can just use Payment Integration using Payment Tools.

    Review this user guide also. I think it matches your requirement

    user guide:

    Please let us know how we can be of further assistance.