SIERRA PLAN ROOM and LAS
VEGAS CONSTRUCTION DIRECTORY |
CREDIT CARD AUTHORIZATION: Sierra Plan Room; 9348 Villa Tuscany Ave; Las Vegas, NV 89129) DO NOT EMAIL CREDIT CARD INFORMATION!! EVER!! Membership: AMOUNT ( ) $395 for
6 months $____________________
TYPE OF CARD _____________ CREDIT CARD #
________________________________ 3 NUMBERS ON BACK OF CARD
________ EXPIRATION DATE:
_____________________ FULL NAME AS
LISTED ON CARD: FIRST
____________________________ LAST
____________________________ ADDRESS CREDIT CARD BILL IS MAILED TO: ________________________________________ ________________________________ PHONE NUMBER ASSOCIATED WITH
THIS CARD (_____)__________________________________ YOUR EMAIL ADDRESS:
________________________________________________ I hereby authorize Sierra Plan Room to charge my credit card in the sum listed above. Signature:
_____________________________________ Print name _________________________________________ *IF YOU HAVE A PAYPAL ACCOUNT, YOU CAN SEND THE PAYMENT TO sierraplanroom@yahoo.com
(Fill
this out and either fax to 702/871-8220
or Fill out the membership application as well and get it back to us.
|
|