Payment Authorization | Ameriprise Exhibitor Kit 2026

Payment Authorization Form

Exhibitor Information

Company Name *

Booth Number *

Contact Name *

Phone *

Email Address *

For security, do not enter full credit card numbers here. NPARALLEL will contact you to collect payment details securely after receiving this authorization.

Billing Information

Billing Address *

City *

State *

ZIP Code *

Country

Payment Method

Card Type *

Last 4 Digits (optional)

Cardholder Name *

Expiration (MM/YY) *

Authorization

I authorize NPARALLEL & Atomic Props to charge all services ordered for the above-listed company/booth for the Ameriprise Financial National Conference & Marketplace 2026, including any applicable late fees or surcharges.

Authorized Signature (type full name) *

Date *

Please complete all required fields before submitting.