|
Company Name:
Contact Person:
Address:
City/State/Zip:
Phone:
Email Address:
If paying by check, please mail this form along with a check made payable to Alternative Energy Association, Inc. to P. O. Box 2729, Palm Beach, FL 33480.
If paying by credit card, please fill in the information below.
|
Credit Card Number
|
|
|
Expiration Date (MM/YY)
|
|
|
Security Code
|
|
|
Billing Name
Billing Address
|
|
|
Authorized Amount
|
|
Four Palms Management Company will be handling all credit card charges on behalf of Alternative Energy Association for this event.
Please email your logo in jpg to Alicia Page at alternativeenergyassn@gmail.com
Thank you for your sponsorship and we will contact you soon.
|
|
