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Credit Card Transaction Form Template

Streamline Your Payment Processes with Ease

Processing credit card payments can be tricky and prone to errors if you don't have the right tools. This template helps businesses like yours accept credit card payments securely and efficiently. With an intuitive layout, you can capture essential credit card information, maintain compliance with payment standards, and enhance customer trust, all while reducing the time spent on payment administration. Start using the live template today and simplify your payment process.

Full name
Email address
Phone number
Street address (line 1)
Street address (line 2)
City
State/Province/Region
ZIP/Postal code
Country
Invoice or order number
Description of goods or services
Transaction type
One-time charge
Recurring charge (subscription)
Authorization hold (no capture)
Refund
Amount to be charged (enter numbers only, e.g., 149.99)
If Other currency, specify 3-letter code (e.g., JPY)
Requested transaction date
Currency
USD
EUR
GBP
CAD
AUD
Other
Please Specify:
Name on card
Card number
Expiration (MM/YY)
CVV/CVC
Card billing ZIP/Postal code
Card type
Visa
Mastercard
American Express
Discover
Other
Please Specify:
I am the authorized cardholder or have authorization to use this card
Yes
No
I authorize the business to charge the card for the amount specified above, including applicable taxes and fees
Yes
No
Authorized cardholder full name (type to sign)
Authorization date
Additional notes or instructions
I understand and agree to the refund and cancellation policy provided by the business
Yes
No
Email me a payment receipt
Yes
No
I would like to receive updates and offers from the business
Yes
No
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Paper art illustration featuring a credit card transaction form template for FormCreatorAI article

When to use this form

Use this form when you need to collect a one-time card payment for an invoice, deposit, registration, or on-site service. It suits small businesses, nonprofits, and internal teams that accept payments by phone or secure link. You capture the cardholder name, billing address, amount, purpose, and consent, so finance can post the payment and reduce disputes. For pre-approvals or recurring charges, pair it with the Credit card authorization form. After you process the charge, send a confirmation with the Credit card receipt form to close the loop for the payer and your records. Examples: a field tech collecting for a repair, an event signup fee, or an agency retainer deposit.

Must Ask Credit Card Transaction Questions

  1. What is the cardholder name exactly as it appears on the card?

    Exact spelling helps match bank records and prevents avoidable declines. It also speeds reconciliation when finance reviews statements.

  2. What is the billing address and ZIP/postal code for this card?

    Address Verification Service checks reduce fraud and increase approvals. They also let you build a clean payer profile in the Payment information form for future payments.

  3. Which invoice, order, or project should we apply this payment to?

    This reference tells accounting where to post the funds and prevents misapplied payments. If you need to include detailed remittance lines, attach or follow the Remit form.

  4. How much should we charge today, and in which currency?

    Capturing a clear amount and currency avoids disputes and surprise exchange fees. If an internal manager must approve the amount, route it through the Payment requisition form.

  5. Do you authorize this charge and agree to store a token for future payments?

    Explicit consent protects you and improves your chargeback defense. It also makes your policy clear if you process follow-up payments later.

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