Aloha Juice Co.

Credit Card Application

Complete the two steps below to submit your credit card authorization securely.

STEP 1

Download and Complete the Application

Open the interactive Credit Card Authorization form, complete all required fields, and save the finished PDF to your computer.

Download Application
  • The PDF can be completed electronically.
  • Save the completed file before continuing to Step 2.
  • Do not return the completed application through ordinary email.

STEP 2

Upload the Completed Application

Select the completed PDF you saved in Step 1 and submit it using the secure upload form below.

Contact Information

We’ll use this address only if we have a question about the application.

Completed Application
Secure submission Your file is transmitted over an encrypted connection and stored privately for review. It is not attached to the notification email we receive.
Choose Completed PDF

* Required fields

Security Information

  • Files are transmitted over HTTPS.
  • Applications are stored outside the public website folder.
  • Documents are not attached to notification emails.
  • Applications are deleted after processing.

Need Help?

Contact Aloha Juice Co. at 503-231-1446 before submitting your application.

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