Louisiana Auctioneer's Assocation 2021 Convention Package

C r e d i t C a r d G u a r a n t e e A g r e e m e n t Date: I authorize the Louisiana Auctioneers Association to use the credit card listed below as guarantee for the charges incurred on the master account established for my Conference Service charges.

Date of Function: Company Name: Credit Card Type: Credit Card Number: Expiration Date: Cardholder Name: Cardholder Signature:

Louisiana Auctioneers Association Only

Authorization #:

Authorization Date:

Authorization Amount:

Acct. Rec. No.:

Account Receivable Manager:

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