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Name: ______________________________________________________ Email: ______________________________________________________ Credit Card Number: __________________________________________ Expiration Date: __________ CCV: ____________ Zip Code: _________ Signature: ____________________________________________________ *this sheet will be shredded after the event Must provide credit card information to bid on items

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Page 1: Name:! ! Email:! ! Credit!CardNumber:! ! … Word - Gala_Masquerade_CC Info.docx Created Date 11/2/2016 2:28:05 AM

Name: ______________________________________________________

Email: ______________________________________________________

Credit Card Number: __________________________________________

Expiration Date: __________ CCV: ____________ Zip Code: _________

Signature: ____________________________________________________

*this sheet will be shredded after the event

Must provide credit card information to bid on items

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