Card On File Authorization

Rogue Equine & Companion Animal Clinic accepts most major credit and debit cards. All personal information is kept private. You may cancel this authorization at any time by contacting us in writing. The authorization will remain in effect until cancelled.

  • Please only list the last four digits of your card. This is for confirmation purpose - that we are using the correct card.
  • Hidden
    MM slash DD slash YYYY
  • User finger for tablets or phone, mouse if using a PC/Mac.
  • Hidden
    MM slash DD slash YYYY
  • Please note - the next page will contain a link to store your card securely. Failure to complete this second step will interfere with our ability to provide service.