EXPO MEDIA, INC

4846 N. University Drive Suite 134

Ft. Lauderdale, FL 33351

Phone: 754-246-6112

Fax: 954-462-6672

Credit Card Authorization Form

CARD HOLDER INFORMATION
Name or Company Name:
Billing Address (associated with the credit card being used):
City: State: Zip:
Email Address: Phone:
CARD HOLDER INFORMATION
Card Type:
Card No.:
Exp. Date:
Card Identification Number (CVV2 Code):

I, ,authorize EXPO MEDIA, INC. to process a charge against my credit card account in the amount of $ for the payment of exhibit space and marketing fees at the National Pizza & Pasta Show.

Print Name as it appears on Credit Card:
Signature:
Date:
  • Any refunds requested on this show may be honored toward future events or advertising at show management's discretion. No cash or credit card refunds, no exceptions.

Note: EXPO MEDIA, INC. does not keep a file of credit card numbers. At the completion of the transaction, this document with your credit card number will be shredded.