PCI Assurance Card
  • Credit Card Revision Form

  • Your completion of this authorization form helps us to protect you, our valued customer, from credit card fraud. All information entered on this form will be kept strictly confidential. Our payment process is PCI compliant which ensures that your information is being handled in accordance with industry security standards. For more information on PCI compliance please click the PCI icon on the right of your screen.

    Primary cards listed below will be charged first for any services and fees billed by Permit America, Inc. Secondary cards will only be charged if the primary card is not approved for payment. Permit America will only allow two credit cards on file. You may cancel this authorization at any time by contacting Permit America, Inc at 866-573-7648; this authorization will remain in effect until cancelled by you.


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Permit America For Your Mobile Device

You can now carry digital copies of all of the provision sheets on your favorite Android or iOS device using our new app!

Permit America Android Device Mobile App
Permit America IOS Device Mobile App