Over the Phone Credit Card Payment Authorization

Motion Day – Burleson

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Motion Day – Burleson

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To authorize a credit card payment over the phone, complete the authorization form below. Upon completing the authorization form, you must call the Clerk’s Office at (706) 485-4501. Notify the Clerk you have submitted the Online Authorization Form and would like to pay by credit card over the phone.

NOTE: To pay a ticket, you must pay online by clicking HERE.

Name(Required)

First Last

Email(Required)

Phone(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Amount of Payment(Required)

Provide a description of what you intend to remit payment for(Required)

Driver's License #(Required)

Required if Citation # is blank

Date of Birth(Required)

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