Company Name* Name* First Last Email* For What Type of Marketing Are You Requesting Reimbursement?* Print Advertisment Digital Advertisement Printed Literature/Catalogs Promotional Item/Swag Tradeshow Video/Photography Date Print Advertisement was Published* MM slash DD slash YYYY Upload Photo of Final Print Advertisement*Max. file size: 8 MB.First Date Digital Advertisement was Published* MM slash DD slash YYYY Upload Photo of Final Digital Advertisement*Max. file size: 8 MB.Date Literature was Printed* MM slash DD slash YYYY Upload Copy of Final Flyer*Max. file size: 8 MB.Date Promotional Items Were Purchased* MM slash DD slash YYYY Upload Photo of Final Product*Max. file size: 8 MB.Date of Tradeshow* MM slash DD slash YYYY Upload Photo of Tradeshow Booth*Max. file size: 8 MB.First Date Photography/Video was Promoted* MM slash DD slash YYYY Add Link to Photography or Video* Was Fire-Dex the Only Company Listed/Visible?* Yes No Upload Proof of Original Payment*Max. file size: 8 MB.Upload Invoice to Fire-Dex*Max. file size: 8 MB.
