WHAT TO DO:

1. Click to download the credit card form. Be sure to save it in a known location.

2. Go to the folder location where you saved the file and open the PDF from there.

3. Fill out the form completely.  Save your work and close the file.

4. Click "Choose File" button below to upload your file. Find file in location where you saved it.  File will be encrypted and sent securely to Gold Speech.

Credit Card Authorization Form

Dawn Gold, M.S., CCC-SLP