1. LMU Catering
Credit Card Authorization Form
Type of Card: (Amex, Visa, Discover, Master Card)___________________________
Name on Card:___________________________________________
Address of Card Holder:___________________________________
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Phone Number of Card Holder:_____________________________
Card Number:___________________________________________
Expiration Date:___________________
V Code: _________________ (three digit code on back of card)
Signature of Card Holder:________________________________________