Credit Card Authorization
Email address *
Email Address *
Phone Number *
Point of Contact *
Company, Event, or Wedding Name *
Event Description
Please share some of the details with us!
Event Date *
MM
/
DD
/
YYYY
Event Space *
Required
Billing Address *
City *
State *
ZIP Code *
Cardholder Name *
Card Type *
Card Number *
Expiration *
Security Code *
Amount *
Purpose *
Electronic Signature
I authorize the Lumber Exchange Event Center or its affiliates to charge the amount listed above to the credit card provided herein. I agree to pay for this purchase in accordance with the issuing bank's cardholder agreement. I understand that entering my initials below constitutes a legal signature.
Initials *
A copy of your responses will be emailed to the address you provided.
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