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  • Rotary Y.E.S./SCANEX - USA TRAIN TOUR 2016 CC Application

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    Evelyne Steiner
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    The document is an application for a Rotary Y.E.S./SCANEX USA Train Tour from June 13 to July 16/17, 2016 that costs $3,100. It requests credit card information to pay either a $600 deposit or the full $3,100 amount and includes fields for the student's name, host district number, credit card number, expiration date, security code, billing address zip code, cardholder's signature, and date.

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    Original Title

    AM16_cc_pymt_info-2[1] (2)

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    The document is an application for a Rotary Y.E.S./SCANEX USA Train Tour from June 13 to July 16/17, 2016 that costs $3,100. It requests credit card information to pay either a $600 deposit or the full $3,100 amount and includes fields for the student's name, host district number, credit card number, expiration date, security code, billing address zip code, cardholder's signature, and date.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
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    Download as doc, pdf, or txt
    6 views1 page

    Rotary Y.E.S./SCANEX - USA TRAIN TOUR 2016 CC Application

    Uploaded by

    Evelyne Steiner
    The document is an application for a Rotary Y.E.S./SCANEX USA Train Tour from June 13 to July 16/17, 2016 that costs $3,100. It requests credit card information to pay either a $600 deposit or the full $3,100 amount and includes fields for the student's name, host district number, credit card number, expiration date, security code, billing address zip code, cardholder's signature, and date.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as doc, pdf, or txt
    of 1

    Rotary Y.E.S.

    /SCANEX - USA TRAIN TOUR 2016 CC Application


    Tour starts in Los Angeles on June 13
    & ends on July 16/17t h Cost $3,100

    Students Name

    Host District #

    Credit Card PAYMENT below for the amount and enter here $ ________
    Deposit $600, Balance $2,500 or Full Amount $3,100 Circle one

    I,
    , (name as shown on card) agree to pay according to the card issuer agreement the amount
    for the student as indicated above for the Rotary YES/ SCANEXUSA Summer 2016 Train Tour.
    Please indicate your e-mail address for questions and payment confirmation ______________________________.

    3 digit Security Code on back of card ________

    VISA or MASTER CARD #

    EXPIRATION - Month

    Year

    ZIP CODE or Postal Code for where the bill is charged_________________________

    PLEASE SIGN for credit card charge:


    Please fill out and send to:
    traintour2016@gmail.com

    Date

    , 2015/2016

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