Alaskan Malamute Club of America
The AKC Parent Breed Club for the Alaskan Malamute

 

Credit Card Purchase Authorization

 

Type of Credit Card: 

(Discover, Am Express NOT ACCEPTED)
 
Credit Card #: Exp Date: (mm/yyyy)
 
Name as it appears on card:
 
Signature of cardholder: _________________________________________________________________

Select Item which you are submitting a credit card payment for:

Advertising:
 		  

Catalog Ads

 Amount $.00
Hospitality:
 

Hospitality Donation
 National Specialty Banquet
 Regional Wrap Up Celebration

 Amount $.00 Attach order form
Merchandise:
 		  

Sweatshirt Order
 Outerware Order

 Amount $.00 Attach order form
Amount $.00 Attach order form
Reservation:
 		  

RV

 Amount $.00 Attach order form
Trophy:
 		  

Trophy Donation

 Amount $.00 Attach order form

Additional items will be added to this form as we get closer to the event and start taking entries for our special events and health clinics. Credit Card Payments will be received and process by one coordinator. Appropriate committee person(s) will be notified immediately by the coordinator.

   
Note: Fill in this form and Print it using the Print button in the File Menu .
Mail the form to the appropriate person below.
 
Mail To:  
Advertising Hospitality Merchandise
Lisa Thomas
10101 Madison Road
 Montville, OH 44064-9707
440-968-0150		 Cynda Schoesser
7925 W. Townsend Street
Milwaukee, WI 53222
414-445-2049		 Pat McGovern
3268 S. Old Highway 11
Orfordville, WI  53576
 608-879-2696
 
Reservation (RV) Trophies  

Tom McGovern
3268 S. Old Highway 11
Orfordville, WI  53576
 608-879-2696

 Amanda Kanzelberger
N6488 County Road M
Sheboygan Falls, WI  53085
920-889-8988