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Power Flame Incorporated Satellite School
RESERVATION FORM
( Please print and fill out this form and return it no later than August 31 , 2013 )
Fax or email to: California Boiler, Inc.
Attention:
Maggie Stanley
Fax: (714) 891-4320
E-Mail:
mstanley@californiaboiler.com
Select Desired Date:
Name of Attending Company
Company Address:
Tel:
Email:
Required Purchase Order:
Accounts Payable Contact:
Tel:
Name of Indivdual Attendees:
Fax:
Website:
E-mail:
Non-Refundable Method of Payments:
Check Cash Credit Card (please complete provided form)
If you have any questions please feel free to contact our office at (714) 891-0701. We look forward to
seeing you.
Thank you,
Your California Boiler Team

Power Flame Incorporated Satellite School
CREDIT CARD AUTHORIZATION FORM
Fax or email to: California Boiler, Inc.
Attention:
Maggie Stanley
Fax: (714) 891-4320
E-Mail:
mstanley@californiaboiler.com
Customer Name:
ID:
Customer Purchase Order No:
California Boiler Invoice No:
Credit Card Type: Amex Visa MC
Credit Card No:
-
Expiration Date:Security Code:
If Corporation Card, Corp. Name:
Cardholder’s Name:
(Please print as it appears on card)
Customer Email:
Cardholders Phone:
Fax:
Cardholder’s Billing Address:
ZIP:
Internal use only:
Amount$ Tax $ Fees $ Total $
Signature of Cardholder:
Date:
I hereby authorize California Boiler, Inc. to charge my above credit card.
Accounting Department Contact: Cathrine Darcy 714-908-5825 or E-MAIL: cdarcy@californiaboiler.com