Payment Information Sheet - 2017 Reconstruction Awards

January 04, 2017 |

 

PAYMENT INFORMATION ($250 PER ENTRY)

Download form as a Word file

 

 

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
Overlay Init