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BOWERS MUSEUM <br />Credit Card Authorization <br />Name <br />Billing nddress <br />City State Zip code <br />Contact number Cell ❑ minces ❑ Ifume <br />E-mail address <br />For the damage deposit, please use my: <br />Amcx I\lasrerCard Visa <br />Amount <br />For payment, please charge my: <br />Amex MasterCard Visa <br />:Amount <br />Can the same credit card he used Cur the remaining balance due? Yes No <br />Card number <br />Name as it appears on the card <br />Cardholder's signature (must be signed, aot o:pcd inj <br />Upon completion, please return this payment to: <br />Bowers Itluscum <br />Special Events <br />2002 North Main Street, Santa Ana, California 92706 <br />Expiration date: CVC security code: <br />Revised: Septentber2024 Facility Use Rental Agreement <br />