Iowa Fire Equipment Company

Credit Card Authorization Form

Complete the below form to give Iowa Fire Equipment Company authorization to charge the credit card of your choosing.

 

* Indicates a required field
Contact Information

Please enter your name and contact information below.
*
Authorization Agreement

I hereby authorize IOWA FIRE EQUIPMENT COMPANY to charge the credit card listed below. Please know that this card will be kept on file in Iowa Fire Equipment Company Rolodex Credit Card Company which is CardConnect. CardConnect is PCI compliant. Iowa Fire is PCI compliant. Each user to this account has their own login, and only the last four numbers of the credit card will be seen after being entered in to our rolodex online. Our company policy is all credit card payment have an additional 3.5% convenience fee to the total of payment.
Acknowledge and agree to the above terms:
 *
Account Information
*
Card Type:
 *
*
*
*
*
*
*
Authorized Signature for the above card
*
 Print your name.
Draw your signature.
*
© 2021 Iowa Fire Equipment Company. All rights reserved