UNIVERSITY OF THE VIRGIN ISLANDS
UNIVERSITY OF THE VIRGIN ISLANDS CREDIT CARD AUTHORIZATION Appeal/Events: Credit Card # ________________________ Expiration Date: ________________ VISA ______ MASTERCARD _____ AMEX _____ CID # ____ (Note: AMEX cardholders places include 4-digit CID Number on right side of card.) By signing below, I assume full responsibility for this credit card transaction. For ________________________________ in the amount of $ ____________________. Alumni/Friend Name ____________________________________ ______________________________ Print Name of Card Holder Date _____________________________________ Signature of Card Holder Mailing Address: _________________________________________________________ ___________________________________________________________ Telephone: Work _____________________ Home ________________________ Mail completed form to: University of the Virgin Islands Alumni Affairs Office 2 John Brewer’s Bay St. Thomas, VI 00802-9990
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UNIVERSITY OF THE VIRGIN ISLANDS CREDIT CARD AUTHORIZATION Appeal/Events: Credit Card # ________________________ Expiration Date: ________________ VISA ______ MASTERCARD _____ AMEX _____ CID # ____ (Note: AMEX cardholders places include 4-digit CID Number on right side of card.) By signing below, I assume full responsibility for this credit card transaction. For ________________________________ in the amount of $ ____________________. Alumni/Friend Name ____________________________________ ______________________________ Print Name of Card Holder Date _____________________________________ Signature of Card Holder Mailing Address: _________________________________________________________ ___________________________________________________________ Telephone: Work _____________________ Home ________________________ Mail completed form to: University of the Virgin Islands Alumni Affairs Office 2 John Brewer’s Bay St. Thomas, VI 00802-9990