Credit Card Form

By completing and submitting this form, I affirm that:

  • I authorize a charge to the specified credit card.
  • I am authorized to perform this transaction by the legal party to the debt(s)
  • I am authorized to perform transactions using the card information provided
  • I certify that the debt owed to the creditor is in my name and I am granting ARCO Collections permission to communicate with me by email if needed.
Debtor Information
Cardholder Information
Payment Information
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