PURCHASER SIGNATURE. The representative(s) of NORTHWESTERN UNIVERSITY and/or PURCHASER in the signing of this contract warrants that she/he signs as a properly authorized representative and does not assume personal liability for meeting the terms of the contract.
PURCHASER SIGNATURE. In the presence of: Witness Signature .......................................................................................................................... Name, Address, Occupation of Witness ..................................................................................................................... ..................................................................................................................... ..................................................................................................................... Vendor Initials …………….. Witness Initials ……………. Purchaser Initials ……………. Witness Initials ……………. .....................................................................................................................
PURCHASER SIGNATURE. WCSPA may place materials to advertise performances at my business? (please circle): YES NO Select Payment Type: *Amount Paid: $ -Check/Money Order: # (Payable to: WCSPA) - Cash: Amount Enclosed: -Credit Card: (Please Circle Type of Card) Mastercard Visa Discover Full name on card Card number exp. 3 digit (back)v-code *All artwork must be received by October 31 Artwork/Ad submit via Email (300+ dpi): xxxxxxxxx@xxxxxxx.xxx For office use: Ad Pay Request: For questions call: Xxxx Xxxxxxxx Mail Address: WCSPA 586.825.2525 (office) Ext. 3 12901 Fifteen Mile Rd. 000.000.0000 (fax) Xxxxxxxx Xxxxxxx, XX 00000 xxxxxxxxx@xxxxxxx.xxx *Business Name (print)
PURCHASER SIGNATURE. As Attorney in Fact for Xxxxxx Xxx By:
PURCHASER SIGNATURE. Name of Business: Signature: Principal or Owner Name Printed: Title: Date:
