Credit Card Authorization Form

Please note: You must print and send this form, this is not an online submission.
CREDIT CARD INFORMATION
Please Select Event: (check all that apply)	Fall '08 Career Expo Fall '08 Part-Time & Summer Job Fair
Please Select Card:	American Express Discover Master Card Visa
Credit Card #:
Security Code:
Expiration Date:
Payment Amount:	$
Company Name:
Cardholder's Name:
Cardholder's Signature:	_________________________________
Date:	__________________
Please fax* this form to:* Linda McCleary @ 215-204-4462

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