Payment Information Sheet - 2014 Reconstruction Awards

January 09, 2014


Payment Information ($200.00 per entry)

Credit Card Type_______________________________________

Cardholder’s Name_____________________________________

Cardholder’s Address___________________________________

____________________________________________________

___________________________________________________

Credit Card Number____________________________________

Expiration Date________________________________________

Amount______________________________________________

Company name_______________________________________

Authorization (if other than cardholder)

____________________________________________________

Today’s Date_________________________________________

Check [  ] if you want a receipt.

 

If paying by check, please make payable to "SGC Horizon"

 
Please send this payment sheet (or your check) along with your entry to:
Building Design+Construction
3030 W. Salt Creek Lane, Ste. 201
Arlington Heights, IL 60005
Attn: David Barista
         
 

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