The Boston Fall Boat Show tickets on line

 

 

Credit Card Authorization Form

Date:

Exhibiting Company Name:

Card Holder Name:

Card Billing Address:

Card Billing City:

Card Billing State:

Card Zip Code:

Card Holder Phone:

Card Holder Fax:

Card Holder Email Address:

Credit Card Number:

Credit Card Expiration Date:

Card Type:

TOTAL COST:

Items To Be Purchased:

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Please Read Statement Below**

Submittal of this form authorizes Vernon Promotions to charge the
credit card provided for the TOTAL COST displayed.

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If you would like to download this form and fax it back to
978-777-2692
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Questions? Call Vernon Promotions at 978-777-4439