Credit Card Authorisation Form

CREDIT CARD AUTHORISATION FORM

Please print and complete this form clearly in BLOCK LETTERS.  Sign and send it with your application. 

Name as it appears on the card:

Billing address of this card:

Select the service(s) to be performed and charged to you nominated credit card:

Note:
Application fee: Includes, if required, fees for emergency passports or documents of identity.

Postage Fee: Unless collected in person, passports and documents are returned by Canada Post Registered Mail. If preferred, you can provide a prepaid self-addressed express or priority envelope from either Canada Post or courier company for the return of your documents.