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* Date Format: MM slash DD slash YYYY Upload Photo of Final Print Advertisement*First Date Digital Advertisement was Published* Date Format: MM slash DD slash YYYY Upload Photo of Final Digital Advertisement*Date Literature was Printed* Date Format: MM slash DD slash YYYY Upload Copy of Final Flyer*Date Promotional Items Were Purchased* Date Format: MM slash DD slash YYYY Upload Photo of Final Product*Date of Tradeshow* Date Format: MM slash DD slash YYYY Upload Photo of Tradeshow Booth*First Date Photography/Video was Promoted* Date Format: MM slash DD slash YYYY Add Link to Photography or Video*Was Fire-Dex the Only Company Listed/Visible?*YesNoUpload Proof of Original Payment*Upload Invoice to Fire-Dex*
