Paintballing Payment & Rentals

1. Paintballing in SC Village Fun Time Party 3/13
(please kindly submit the payment before 3/01 so we can reserve our group with SC Village)
Phone: 626-320-3588
Fax Back: 626-283-5752
Credit Card Charge Authorization Form
Name of Credit Card Holder:
__________________________________________
Telephone:
_______________________
Zip: _____________
VISA
MASTER
AMERICAN EXPRESS
Credit Card Number:
________________________________________________
V-Code:
____________________
(V-Code can be found at the back of your card, on signature line, e.g. 16-digit number
plus 3-digit V-Code)
Expiration Date (MM/YY):
________ / _________
(Please read, sign and date the following statement)
I, _____________________________________, an authorized person of ___________
___________________________________________ (company name) hereby authorized
AAL Event Organizer to charge our purchases to the above credit card.
($25.00 for deposit) We will never reveal any information and the information will be
shredded after the event. Refund policy: cancel before 3/5
Authorized Signature:
________________________
Date: ____________
Cash Payment: Please submit cash to any of our AOs
Paypal Payment: Please send $25.00 to Vondaz@gmail.com
Check Payment: Please payable to CASH ($25.00)
511 S First Ave #380
Arcadia, CA 91006
Paintballing in SC Village Equipment and rentals:
Please indicate specifically what else do you need:

2. Marker/Gun $11 (required)
Pouch $6
Mask $4 (required)
Tank 3000psi $11 (required)
Jumpsuit $6
Barrel Plug $1(required)
Tactical Vest $8
We are bringing couple cases of paintballs for everyone
Paintballs 500pcs per bag $10 (required)