CREDIT CARD AUTHORIZATION FORM

CREDIT CARD
AUTHORIZATION FORM
The following information is required in order to process credit card charges for payment of
invoices:
Event Name:
Event Dates:
Type of Card:
Name of Cardholder:
Account Number:
Expiration Date:
Signature of Card HolderDate
I hereby authorize the Austin Convention Center Department to charge the above credit card
for charges incurred related to above event unless other payment arrangements are made.
Austin Convention Center Department | P.O. Box 1088, Austin Texas 78767-8838 | www.austinconventioncenter.com | (512) 404-4000 tel | (512) 404-4416 fax