***For Office Use Only*** Information for Completing the Credit Card Payment Form
Credit Card Information
Fill in all credit card information including the payment amount to be charged to your credit card. Form must be signed and dated by the cardholder for validation. OEC² Solutions, LLC cannot process credit card payments without an authorized signature.
OEC² Solutions, LLC. does not accept debit cards or check cards that require use of a personal identification number as a method of payment.
To properly apply your payment, please indicate the quantity, description of product and/or service in which you want to apply this payment to.
We will use this authorization to charge your credit card for products or services listed on the form
For any questions regarding payment or you need additional information, please contact: