USCAA Nationals - Credit Card Authorization

I, Henry Lawson, authorize South West Airlines to charge to my credit card. Information follows: Record Locator: 75DYHI Name: Henry Lawson Credit Card: Exp: Address: 12375 Farr Ranch Rd, Saratoga, CA 95070 FAX TO: (214) 792-6751 Name List: Darrin Garcia Shawn Hook Steve Headley Henry Lawson Pat Lawson Grace Voss Steve Lopez Laura Lopez Mark Stauffer Sara Meyers Mike Regan Rob Stuckey Verdine Baker Anne Hammond Ernie Lee Ray Russell Mike Kreige Becki Kreige Ericke Brigham Walt Van Zant