HomeMy WebLinkAbout2022 Legal Notice Charge Auth Form_Fillable PDF
LEGAL NOTICE CHARGE AUTHORIZATION
DATE: _______________
TO: LOCALiQ New England/Gannett/USA Today Network
LEGAL NOTICE DEPARTMENT
I hereby authorize LOCALiQ New England/Gannett/USA Today Network
to bill me* directly for the legal notice published in the Lexington Minuteman and
on Wickedlocal.com on X for a public meeting with the
Lexington Conservation Commission on _ X _ for property at
______________________________.
SIGNATURE: ______________________________________
Please print where to send bill:
Name: ___________________________________________
Business or Organization, if any: __________________________
Street Address: ________________________________________
City/Town: ________________________________________
State: _________________ Zip Code: ____________________
Day-time Telephone Number: ___________________________
Email Address: _______________________________________
*Applicants will be contacted via phone and/or email address to provide payment with a
Credit Card over the phone for the legal notice posting. Commercial applicants and/or
those with pre-existing accounts will be invoiced.