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The form requires mailing or faxing to the office and explicitly does not accept submissions via email. It captures transaction date, authorized amount, card type (Visa or MasterCard), applicant identity, the name on the card, card number, and expiration date. 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Email submissions are not accepted and will not be processed.","Answer",{"name":112,"@type":107,"acceptedAnswer":113},"Which payment card details are required on the form?",{"text":114,"@type":110},"The form collects the card type (Visa or MasterCard), card number, expiration date, and the name shown on the card.",{"name":116,"@type":107,"acceptedAnswer":117},"What information is reserved for office use?",{"text":118,"@type":110},"Office-use fields include the reason, receipt number, and whether it needs to run through Authorize.Net, along with the date.","https://schema.org",{"og:url":78,"og:type":121,"og:title":59,"og:site_name":91,"og:description":61},"article",{"robots":123,"canonical":78},"index,follow",{"doc_id":125,"site_id":56},283766,1790469748,{"code":4,"msg":5,"data":128},{"doc_id":125,"user_id":129,"nickname":88,"user_avatar":130,"doc_module":9,"category_id":40,"category_name":41,"doc_title":59,"doc_description":61,"doc_content":131,"file_id":132,"file_url":133,"file_type":134,"file_size":135,"view_count":101,"is_deleted":4,"is_public":9,"is_downloadable":9,"audit_status":9,"page_count":9,"language":136,"language_code":57,"site_id":56,"html_lang":57,"table_of_contents":137,"faqs":138,"seo_title":139,"seo_description":61,"update_tm":140,"read_time":4},962085564807,"https://ap-avatar.wpscdn.com/davatar_6f874abed73319feea01a86fa6f0fab8","SOUTH DAKOTA DEPARTMENT OF LABOR AND REGULATION  \nSOUTH DAKOTA STATE BOARD OF TECHNICAL PROFESSIONS  \n420 S. Roosevelt St., Aberdeen, SD 57401  \nTel: 605.394.2510 Fax: 605.394.2509 [sdbtp@state.sd.us](sdbtp@state.sd.us) [dlr.sd.gov/btp](dlr.sd.gov/btp)  \nCREDIT CARD AUTHORIZATION FORM  \nThis form must be mailed or faxed to this office. This form will NOT be accepted by email. Forms received via email will not be processed.  \nDATE:    \nAmount: $  Visa MasterCard  \nName of Applicant:    \nName as shown on the card:    \nCard Number:    \nCard Expires:  \nFor Office Use Only  \nReason:    \nReceipt \\#:    \nNeed to run through Authorize Net?   Date:","cbCaitWsOQRtflM2","https://ap.wps.com/l/cbCaitWsOQRtflM2","pdf",1142049,"English","# Credit Card Authorization Form\n## Applicant and Card Details\n## Payment Authorization and Office Use","[{\"question\":\"How must the credit card authorization form be submitted?\",\"answer\":\"Mail or fax the form to the office. Email submissions are not accepted and will not be processed.\"},{\"question\":\"Which payment card details are required on the form?\",\"answer\":\"The form collects the card type (Visa or MasterCard), card number, expiration date, and the name shown on the card.\"},{\"question\":\"What information is reserved for office use?\",\"answer\":\"Office-use fields include the reason, receipt number, and whether it needs to run through Authorize.Net, along with the date.\"}]","CREDIT CARD AUTHORIZATION FORM - South Dakota Department of Labor and Regulation | PDF",1789618980]