Authorization Agreement for Credit Card Payment

* HOA Account No.  
* First Name
* Last Name
* Address
* City
* State
* Zip
* Email

This authorizes a one-time charge to your credit card for your homeowner assessment or other charges assessed to your account. The application of funds against your account will be in accordance with the Association’s collection resolution or policy concerning credit card payments.


**Please make sure all fields are complete. Incorrect information may cause a delay in processing. Once all information has been submitted, you will receive an email confirming we have received your request. If you experience problems with this form, please contact CardFlex at 866-634-3044.


Please contact Woodbridge Village Association at (949) 786-1800 if you have billing questions or questions regarding the convenience fee.


YOU WILL BE CHARGED A CONVENIENCE FEE FOR THIS TRANSACTION
The amount will be displayed on the next page.


* = indicates required field


Property Information


Billing Information


Note: the address entered here must match the billing address on your credit card statement.


* First Name  
 
* Last Name  
 
* Billing Address  
 
* Billing City  
* Billing State  
* Billing Zip    
* Credit Card No.  
* Expiration Date
* Security Code:  
3 or 4 digit security code on the back of your credit card.
* Amount of Payment