Credit Card Authorization Form
(for credit card issued to another name)
Skybook Sportsbook
This form is an application for a credit card deposit. Make sure all the information requested below is completed. Remember to sign and date the authorization form in the assigned space at the bottom of the page.
Submit the following documentation, along with this form:
· A clear photocopy of the front and back of the credit card.
· A clear photocopy of the front side of the credit card holder’s driver’s license (or state issued ID).
· A clear photocopy of the front side of the Skybook member’s driver’s license (or state issued ID).
· A clear photocopy of a utility bill, showing the Skybook member’s registered address.
Fax the form and additional information to
1-800-327-7081. You may also email the documentation: scan the information and
send it to support@skybook.com.
Your Skybook account:_______________________
Card holder’s name (as it appears on the credit card):
___________________________________________
Credit card number: _________________________________________
Exp Date: _____ / ____ /_____
Address:
_________________________________________________________________________________
City: ________________________ State: _______________________Zip: _____________
Phone number: (____)
______________-_____________ Fax: (____) ____________-____________
IMPORTANT
By submitting this form, signed and dated, along with additional information,
I__________________________________________________authorize
Skybook to charge my credit card for all deposits made to Skybook account #
_______. I will honor ALL deposits to this Skybook account—appearing on my
billing statement as Skybook.com—and will pay them in full. I further agree
that I will not dispute the charges.
Card Holder’s Signature: ___________________________________
Today’s date: _____ /_____ /_____
* This form will act as a
permanent signature on file for any future credit card transactions