Exhibitor Manual - Kentucky State Fair

NAME OF SHOW:
DATE OF SHOW:
COMPANY NAME
ATTN: Accounts Receivable
ADDRESS: P O BOX 37130 Louisville, KY 40233
CITY/STATE/ZIP: PH: (502) 367-5248 or (502) 367-5247
CONTACT:
PHONE:
EMAIL:
METHOD OF PAYMENT FORM
ONLINE ORDERS: www.kyexpo.org
WIRE TRANSFER
Wire info: 042 000314
Swift# FTBC US 3C
CHECK
To the address above in U.S. funds
THIRD PARTY AUTHORIZATION
* Please fill out Credit Card portion below
KEC and KICC will no longer be
processing invoice payments
via email or fax. We ask that you
please fill out the bottom portion
of this form and mail it to the above
address.
ACH TRANSFER
Payments made over the phone will need
an authorizing signature. You may sign below
and email the form (with signature) to
Kentucky State Fair Board ssimmons@ksfb.ky.gov and call (502) 367-5248
Fifth Third Bank
or (502) 367-5247 for payment.
ABA# 083 002342
ACCT: 82194565
Receipts account
Authorized Signature:
*This signature verifies I have given consent for
my credit card to be charged over the phone.
VISA AMEX MASTERCARD DISCOVER DINERS
Account No:
CVV Code:
Expiration Date:
Invoice Number:
Amount:
(4 digits on front for AMEX)
(3 digit # on back of card)
Cardholder's name:
Authorized Signature:
UPDATED 3-14-13