PALM BEACH COUNTY MOUNTED POSSE HORSE SHOWS Credit Card Authorization Form

PALM BEACH COUNTY MOUNTED POSSE HORSE SHOWS Credit Card Authorization Form

I hereby authorize Palm Beach County Mounted Posse, LLC to use the below credit card for use in settling my account.

Card No:__________________________________________ Exp. Date:_______ Security CVS:__________ (Visa/MC 3 digit code on back; AmEx 4 digit on front) Name on Card:______________________________________________________ Billing Address:______________________________________________________ Billing City: ___________________________ State:______ Zip:___________ Contact Email:______________________________________________________ Contact Phone: ___________________________ Rider Name: ________________________________________________________

Palm Beach County Mounted Posse, LLC @

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