Credit Card Authorization Form

"*" indicates required fields

Credit Card Authorization

Please note: your card will *only* be charged on the payment dates outlined at the beginning of this form: February 15, April 15, June 15, and August 15.

Company Name*

Please select your card type.*

Cardholder Name (as shown on card)*

First Name Surname

Card Number*

Card Expiration Month*

Card Expiration Year*

CVV*

Billing Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Signature*

I hereby authorize the West Coast Women's Show to use the credit card noted below for payment(s) of fees that are incurred by my organization for participation in the West Coast Women's Show at TRADEX on October 13, 14 & 15, 2023 and / or the West Coast Women's Show at BC Place on November 17, 18 & 19, 2023. I authorize processing of our payments as indicated on the form below. I certify that I am authorized to use this credit card for payment and authorized to sign this form on behalf of our organization. I understand that my information will be saved to file for future transactions on my account.