Youth Today at Kennesaw State University • 770.423.6924 • [email protected] Space Contract Issue Size/Color Cost Method of Payment (Please check one): ___ Check ___ Money order ___ Credit card Credit card #: _________________________________________________________________ Expiration date: ____________________________ Security code: _______________________ Cardholder name: _____________________________________________________________ Advertiser Company: ___________________________ Contact: ____________________________ Title: _______________________________ Address: ____________________________ City: _______________________________ State: ______________ Zip: _____________ Phone: ______________________________ Fax: ________________________________ E-mail: ______________________________ Agency Company: ___________________________ Contact: ____________________________ Title: _______________________________ Address: ____________________________ City: _______________________________ State: ______________ Zip: _____________ Phone: ______________________________ Fax: ________________________________ E-mail: ______________________________ Please mail your completed space contract to: e Center for Sustainable Journalism, Kennesaw State University 1000 Chastain Road Bldg. 22 MD 2212 Kennesaw, GA 30144 You may also reach us by fax at 770.423.6740, or via e-mail at [email protected]. Full name of person signing (please print): __________________________________________ Authorized signature:_________________________________________ Date: _____________ Please refer to contractual requirements sheet for conditions of agreement.