Author Luncheon

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*Signature - Yes I agree to the text messaging agreement terms

Cardholder name *

Credit card number *

Expiration date *
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Security code *

Card zip code *

Visa®, MasterCard® & Discover® cardholders
Your security code is the 3-digit code at the end of the signature field on your card's back.

American Express® cardholders
Your security code is the 4-digit code located above the actual credit card number on your card's front.

Cover the fee associated with this online transaction?

  Yes, I will pay an additional to cover the cost of this transaction.

Account holder first name *

Account holder last name *

Account type *
Checking   Savings

Account number *

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