Payment Information Sheet - 2021 Reconstruction Awards

PAYMENT INFORMATION ($250 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 include this payment sheet as part of your submission and email to: David Barista, Editorial Director, [email protected].

If paying by check, please send your payment to:

Building Design+Construction

3030 W. Salt Creek Lane, Ste. 201

Arlington Heights, IL 60005

Attn: David Barista