Return forms to: luxor hotel & casino attn: luxor in-room dining 3900 las vegas blvd., south phone: (702) 262-4730 fax: (702) 262-4799 or (702) 262-4086 date: name: company name: street address: city: state: phone #: ext: postal code: fax # email...
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416.429.pets (7387) .petopia.ca info petopia.ca petopia credit card authorization form i, hereby authorize petopia ltd. to maintain my credit card number on file and charge purchases made, services rendered and/or any expenses relating to the care...
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Credit card authorization formthank you for your reservation. we are pleased to offer third party billing should you wish to use your creditcard to cover payment on behalf of the guest(s).please complete the information below and fax or email it...
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Print form michigan department of licensing and regulatory affairs michigan liquor control commission (mlcc) .michigan.gov/lcc name: credit card authorization form fax completed form to secured number: 517-322-5237 transaction amount: credit card...
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