Date post: | 30-Mar-2016 |
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Youth Today at Kennesaw State University • 770.423.6924 • [email protected]
Space ContractIssue Size/Color Cost
Method of Payment (Please check one): ___ Check ___ Money order ___ Credit card
Credit card #: _________________________________________________________________
Expiration date: ____________________________ Security code: _______________________
Cardholder name: _____________________________________________________________Advertiser
Company: ___________________________Contact: ____________________________Title: _______________________________Address: ____________________________City: _______________________________State: ______________ Zip: _____________Phone: ______________________________Fax: ________________________________E-mail: ______________________________
Agency
Company: ___________________________Contact: ____________________________Title: _______________________________Address: ____________________________City: _______________________________State: ______________ Zip: _____________Phone: ______________________________Fax: ________________________________E-mail: ______________________________
Please mail your completed space contract to:The Center for Sustainable Journalism, Kennesaw State University1000 Chastain Road Bldg. 22 MD 2212Kennesaw, GA 30144
You may also reach us by fax at 770.423.6740, or via e-mail at [email protected] name of person signing (please print): __________________________________________
Authorized signature:_________________________________________ Date: _____________Please refer to contractual requirements sheet for conditions of agreement.