INVITATION OF VIP GUESTS
Please fill out the information for sponsorship below. (The RED Items are required)
Contract #: Name VIP Guests Added Guests Type of Business: Address: City: State: Zip: Phone: Fax: ( )- ( )- -------------------------------------------------------------------------------------------------------------------------------- package $5,000.00 VIP Package $10,000.00 $20,000.00
Term Dates: Starting with issue Ending with issue
Special Instructions*:
# of people: Total Cost : Other Charge(s)*:
Total Contract: $
-------------------------------------------------------------------------------------- *(SORRY NO MORE CHECKS AT THIS TIME,ONLY WIRE TRANSFER TO OUR TRUST ACCOUNT).for info please call Mr. Don Barton 310-282-0553 Or 818-528-7484 9am -5pm
Attorney Trust Account Donald A. Barton Washington Mutual Bank Los Angeles, California USA
*CREDIT CARD INFORMATION Credit Card No.: Name on Card: Type of the Card SELECT ONE VISA MASTER CARD AMERICAN EXPRESS DISCOVER Expiration Date:
-------------------------------------------------------------------------------------------------------------------------------- Please make checks payable to Las Vegas-Hollywood. I hereby warrant that I have read the Contract Terms & Conditions as spelled out and that I have full power and authority to sign for the above named firm. Advertiser's Representative Name: Title: Date: Email: LVH Media / Star Invite: Date: --------------------------------------------------------------------------------------------------------------------------------
*PLEASE NOTE: If you are uncomfortable in submitting your credit card information via the Internet, or have any questions, please call us at (702) 792-4057 or 818-528-7484 from 9:00 a.m. through 5:00 p.m. (PST) Monday through Friday for fast and friendly assistance.
Las Vegas-Hollywood Magazine Attn: Advertising Dept. 9903 Santa Monica Blvd suite 517, Beverly Hills ,Ca.90212