Gardena, CA · Los Angeles County

No notary required

Credit Card Form

This form lets people paying the City of Gardena by credit or debit card provide payment details and acknowledge the transaction’s service fee.

What this form is

Use this form to provide credit or debit card details for a payment to the City of Gardena and acknowledge that a service fee will be added to the transaction. It asks for the card type, cardholder name, phone number, account number, billing address, expiration date, signature, date, amount due, and reference. The listed fee is $2.75 for transactions up to $200 and 2.4% for transactions above $200.

Who needs it

Anyone making a City of Gardena payment by credit or debit card can use this form to provide payment details and acknowledge the service fee.

How to submit it

Submit it to the city department named on the form; check the city website for current contact details. The form lists City Hall’s address and phone number.

About notarization

This document is signed and dated without a notary; it lists no notarized or sworn attachment or related step.

How to submit this form

  1. 1

    Download the Form

    Download the City of Gardena Credit Card Form.

  2. 2

    Complete the Payment Details

    Enter the card type, cardholder and contact details, billing address, expiration date, amount due, and reference.

  3. 3

    Review and Sign

    Review the service fee information, then sign and date the form to acknowledge the fee.

  4. 4

    Submit to the City

    Submit the form to the city department named on it; check the city website for current contact details.

Frequently asked questions

Do I need a notary for the Credit Card Form?
No. This form is signed and dated without a notary, and it lists no notarized or sworn attachment or related step.
How do I submit the Credit Card Form?
Submit it to the city department named on the form and check the city website for current contact details. The form lists City Hall’s address and phone number.
What information does the Credit Card Form request?
It asks for the card type, cardholder name, phone number, account number, billing address, expiration date, signature, date, amount due, and reference.
What service fee does the form list?
The form states that transactions of $200 or less have a flat $2.75 fee; transactions of $200.01 and above are charged 2.4% of the total charges.