2019 MEDIA KIT & SPONSORSHIPS PAYMENT FORMS I authorize the Home Builders & Remodelers Association of Fairfield County to charge the following credit card: Company ___________________________________ Name __________________________________ Telephone __________________________________ Email __________________________________ PAYMENT OPTIONS: Total _______________________________ PCheck [payable to HBRA of Fairfield County] PCredit Card 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: P Yes P No If YES, how would you like to receive it: P Email P Fax P 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:_____________________ Billing Address: __________________________________________________________________________________________ Email:______________________________________________________________________ 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 | 10
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