GEA Trade Show 2008 Payment Form

Geothermal Energy 2008 Exhibitor and Visitor Payment Form

Payments to be made in US dollars

Methods of Payment	check credit card
If you pay by check, please make payable to: Geothermal Energy Association, 209 Pennsylvania Avenue, SE, Washington, DC 20003
Check Number
Date
Amount $
Wire Transfer
If you need to make a payment via wire transfer, please contact GEA for instructions. A copy of the wire transfer must be submitted with the exhibit application.
Credit Card Type (if paying by credit card)
Card Number
Name as it appears on card
Company Name(if Corporate Account)
Expiration Date (mm/dd/yy)
I authorize the Geothermal Energy Association to charge to the account identified above the amount of $
I prefer a confirmation by e-mail at
I prefer a confirmation by fax at

Please complete this form, print it out,
and fax to: (202)454-5265