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Circle 10 CouncilBoy Scouts of AmericaC..O..P..E.. PAYMENT AUTHORIIZATIIONThis form should be faxed to Circle 10 Council Camping Reservations at 214-902-6765 ONLY! Nopayments can be accepted at camp the day of course. If you prefer to charge by phone, please call 214-902-6764.I authorize Circle Ten Council to bill the following credit card for all C.O.P.E. fees.Unit:Course Date:Credit Card Number:Expiration Date:Name on Card:Billing Address:City/State/Zip:Signature:An invoice showing the final billing and payments will be e-mailed to the primary unit leader on theMonday following the course. Any unpaid fees will be charged to the credit card the Monday after thecourse as well.Rev: 02/11

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