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2011 Masters Golf Tournament
PROMISE TO RETURN BADGE
Use of Credit Card Authorization
Affidavit of non dispute of Credit Card charges
Date: Saturday April 9, 2011 GSEM Group: YOUR NAME HERE
Name As It Appears on Credit Card: _______________________________________________________________________
Billing Address: _______________________________________________________________________
Phone Number: _________________________________________________________
Authorization Amount: __$7,500.00 (USD) ____________
Credit Card Number: ________________________________ Expiration:__________
My signature constitutes a deposit agreement between The Georgia Sports & Event Marketing Corporation (GSEM) and myself (the cardholder). I hereby agree that I have accepted (from GSEM personnel) a 2011 Masters Golf Tournament Badge that I was granted use of on the date listed above. I also hereby agree that I will return this Badge to the designated GSEM Representative (TBA) no later than 7:00 pm on the date listed above. If this Badge is not returned for any reason, I authorize the use of the above listed credit card for the amount stated. I agree that this amount is nonrefundable that I am the owner of above listed credit card, and I will not dispute this charge to any third party for any reason. I understand that if this Badge is returned as outlined above, no charges will be made to the above card.
Signed: _____________________________________________ Date: ____________
Printed Name: ________________________________________
Badge Returned: ______________________________________
GSEM designated Badge #: (will be determined on the date listed above)
BADGE #:___________________
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