Credit Card Authorization Form

Fill in the form below, then download your completed copy and email it to us. You can also download the blank PDF and fill it in offline. No account is required.

Download the blank fillable PDF

Your privacy: This page does not send, save, or store anything you type. The form is created on your own device, and it reaches United Finishing Supply only when you email it to us yourself.

1. Cardholder information

2. Charge details

Notice: A 3.75% convenience fee applies to all credit card transactions. It is charged by our payment processing company, not by United Finishing Supply, and is added to the final total.

3. Card information

4. Authorization and agreement

I authorize United Finishing Supply to charge the card above for the total amount, including the convenience fee, and order described in Section 2. I confirm that: (1) I am the authorized holder of this card, or am authorized by the cardholder to use it for this purchase; (2) the billing address and card details I provided are accurate; (3) I have reviewed the products, quantities, price and shipping address and agree to the charge; (4) the charge will appear on my statement as United Finishing Supply or UFS; (5) I have read and accept United Finishing Supply's Terms of Service, including its shipping and return policies, in effect on the date of this order; (6) if I have a question or concern about this charge, I will contact United Finishing Supply at 631-991-7188 or info@unitedfinish.com so we can resolve it promptly; (7) I understand and agree that a 3.75% convenience fee, which United Finishing Supply does not keep and which is charged by its payment processing company, will be added to the final total of this credit card transaction. This authorization is valid until the order is fully shipped and paid unless I cancel it in writing before the charge is processed.

To email: tap "Email it to us". Your completed PDF downloads and your email app opens addressed to info@unitedfinish.com. Attach the downloaded PDF and send. Prefer not to email your card number? Leave the card number, expiration and security code blank and call us at 631-991-7188 with them instead.

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