One Time Credit Card Authorization

One time authorization for credit card payment/charge for veterinary services provided by Rogue Equine & Companion Animal Clinic.
  • Date Format: MM slash DD slash YYYY
  • Please enter the amount provided to you or agreed upon. If the amount is different, we will notify you as the transaction will be rejected.
  • User finger for tablets or phone, mouse if using a PC/Mac.
  • Date Format: MM slash DD slash YYYY
  • This field is for validation purposes and should be left unchanged.