Bogata, TX · Red River County
Credit Card Payment Authorization Agreement
This agreement lets a Bogata water customer authorize the city to charge a credit card for monthly water bills and related charges.
What this form is
Use this agreement to authorize the City of Bogata to debit a credit card for monthly water bills and other related charges and fees. It asks for the cardholder’s name, card type and number, expiration date, security code, water account number, service address, signature, and date. The authorization remains in effect until 30 days after the city receives written notice of termination.
Who needs it
A water customer who wants to authorize the City of Bogata to charge a credit card for monthly bills and related charges can complete this agreement.
How to submit it
Submit it to the city department named on the form; check the city website for current contact details.
About notarization
This document is signed without a notary; the signer just signs and dates it.
How to submit this form
- 1
Download The Agreement
Download the Credit Card Payment Authorization Agreement.
- 2
Complete The Agreement
Enter the requested cardholder, credit card, water account, and service address details.
- 3
Sign And Date
Sign and date the agreement. The form lists no attachments.
- 4
Submit To The City
Submit it to the city department named on the form; check the city website for current contact details.
Frequently asked questions
- What does this agreement authorize?
- It authorizes the City of Bogata to charge the listed credit card for monthly water bills and other related charges and fees.
- What information does the agreement ask for?
- It asks for the cardholder and card details, water account number, service address, signature, and date.
- Do I need a notary for the Credit Card Payment Authorization Agreement?
- No. This document is signed without a notary; the signer just signs and dates it.
- How do I submit the Credit Card Payment Authorization Agreement?
- Submit it to the city department named on the form; check the city website for current contact details.