Inventory Homes Advertising Form


Your Name as Printed on Credit Card
 

 


Billing Address that your Card issuer mails your monthly statement to
 

 

 


City, State, Zip Code
 

 


Type of Card (circle one)
 

     
Visa  /  MasterCard  /  AMEX  / Discover


Card Number
 

                
                              -                       -                       -


Expiration (month/year)
 

 


Card Verification Number (last 3 digits on the back of card – EXCEPT FOR AMEX which is 4 digit code on front)
 

 


Email Address
 

 


Contact Telephone
 

 


Total Amount of Charge today

Initials Next to Your Choice


$299.00 Picture Banner listing _______ Initials

$199.00 Text listing _______ Initials
 


TODAY’S DATE and AUTHORIZED SIGNATURE
 

 

 

PRINT THIS PAGE, COMPLETE IT AND FAX IT TO OUR SECURE FAX NUMBER (866) 269-4545

Once your form is faxed to us, we will acknowledge receipt and email you the details for submission of your listing.