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Advertising Prepayment Form

Real Estate Marketing

Realogy Affiliate Programs

Advertising Prepayment Form

Sky Advertising Inc. Affiliate Advertising Credit Card Authorization Form

Please print out, fill out, and return this form to activate credit card billing for any affiliate advertising charges due to Sky Advertising.

Credit cards will be billed on a per order basis, until Sky Advertising receives written cancellation of service.

Company Information

Company Name :

Phone Number :

Fax Number :

Address :

City :

State :

Zip Code :

Email :

Contact Name :

Advertising Request:

Publication :

Publication Date :

Number of Properties :

Amount: USD

Credit Card Information:

Credit Card Type :

Card Number:

Expiration Date :

CVV:
(3 digit code on back of the card or 4 digit code on front of an American Express)

Cardholder Name:

Address where credit card bills are sent:
Check here if same as above

Address :

City :

State :

Zip Code :

Please fax or mail this form to Liz Larkin.
Phone: 212-677-2500 x151, Fax: 212-677-0661, Email: liz@skyad.com.
Sky Advertising must have this form on file to bill your credit card.

©2012 Sky Ad. All rights reserved.

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