International Fellowship of Flying Rotarians

Montreal Fly-Away Deposit

Name:
Lunch required:
Contact phone:

 

Attendees:
1. Name
2. Name
3. Name
4. Name

Payment:
A deposit of $500 per person is authorized as follows:

Card number:   
Expiration date: 
Code:
Cardholder name:
Authorized by:    
Amount authorized:

This charge on your credit card will appear on your statement as: ?????