2018 MEDIA KIT & SPONSORSHIPS PAYMENT FORMS I authorize the Home Builders & Remodelers Association of Fairfield County to charge the following credit card for one or more of the following transactions [please check all that apply in form above]: Company ___________________________________ Name _____________________________ Telephone __________________________________ Email _____________________________ PAYMENT OPTIONS: 1Check [payable to HBRA of Fairfield County] 1Mastercard 1American Express 1Visa 1Discover Name on Card ___________________________________________ Credit Card #: ______________________________________ Exp ___________ Security Code ______ Billing Address: _____________________________________________________ City_________________________ State _____________ Zip ________________ I would like the HBRA to hold my card on file, in an effort make future payments easier. Initials required to hold card on file: _____________ Would you like a receipt after processing your transaction: 1 Yes 1 No If YES, how would you like to receive it: 1 Email 1 Fax 1 Mail INVOICE AUTHORIZATION: I ___________________________ authorize the Home Builders & Remodelers Association of Fairfield County to send me an invoice in order to process payment for the above transaction(s). Authorized signature:______________________________ Date:_____________________ Company:________________________________________ Name:____________________ Telephone:_______________________________________ Email:_____________________ Billing Address:______________________________________________________________ FILE DELIVERY Please submit all artwork files to clare@buildfairfieldcounty. com with a description of the ad in the subject line All artwork should be submitted as high res PDFs, JPEGS, or PNGS with bleed and crop marks as necessary For more information, contact the HBRA office at 203-335-7008 or clare@buildfairfieldcounty.com HBRA OF FAIRFIELD COUNTY | 18
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