Authorization Agreement for Credit/Debit Card Authorization

I, authorize The Lakeway Church to charge my credit card:

• Cardholder First Name: *
• Cardholder Last Name: *
• Credit Card Billing Address: *
• Credit Card Billing City: *
• Credit Card Billing State: *
• Credit Card Billing Zip: *
• Cardholder Phone: *
• Cardholder Email: *

Please let us know how you would like your payment applied:

Authorization Agreement for Credit/Debit Card Authorization

In gratitude to God and with blessings for my financial support of The Lakeway Church.

I, authorize The Lakeway Church to charge my credit card:

• Cardholder First Name: *
• Cardholder Last Name: *
• Credit Card Billing Address: *
• Credit Card Billing City: *
• Credit Card Billing State: *
• Credit Card Billing Zip: *
• Cardholder Phone: *
• Cardholder Email: *

Please let us know how you would like your payment applied: