Barclays Virtual Card Program
Payment Change Authorization Form

By completing and submitting this form, you:

Authorize Barclays to make your future invoice payments using virtual credit cards sent to the "Payments Email Address" below
Confirm you are able to accept virtual credit card payments
Acknowledge you have a merchant processor account for processing credit card payments

You will begin receiving payments by virtual credit card as soon as Barclays reviews and approves your payment change.

Business Name

Trading Name

Country

Payments Email Address

Enter the email address where your virtual credit cards should be sent

Authorized Signatory 1 Name

Authorized Signatory 1 Designation

Finance Director / CFO or above

Authorized Signatory 1 Email ID

Authorized Signatory 1 Phone #

Authorized Signatory 2 Name

Authorized Signatory 2 Designation

Registered Contact

Authorized Signatory 2 Email ID

Authorized Signatory 2 Phone #

Authorized Signatory 3 Name

Authorized Signatory 3 Designation

Additional Contact

Authorized Signatory 3 Email ID

Authorized Signatory 3 Phone #

File Upload

Attach an approval email from each signatory above e.g. "I approve the change to virtual card payments"

Drop your files here

Send me a copy of my responses