Atg PG 5 Advertising Agreement Oct 2015

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Against The Grain Gazette

Advertising Agreement

Agreement Length:

3 Months

6 Months

12 Months

From: Month____________________________________ To: Month_____________________________________

A. Display/Print Ad (Full Color)


Size_____________________
Price/Month $_____________
Subtotal $________________

B. Online Ad
Ad Type_____________________
Price/Month $_____________
Online Directory $__________
Calendar $___________Classified $__________
Home Page/Ad Link $___________
Subtotal $________________

C. Custom Ad Packages
________________________________________
________________________________________
________________________________________
________________________________________
________________________________________
________________________________________
_______________________________________
___________________________$____________
___________________________$____________
____________________ Total: $____________

Payment via credit card.


Credit Card Type:______________
Credit Card #__________________
3 Digit Verification Code__________Exp ____/____
Name on Card:
_________________________________
Billing Address For Credit Card:
___________________________________________
City________________State:___________Zip:_______
I authorize Against The Grain Gazette to bill the card listed above
for the amount specified in the Advertising Agreement. I agree to the
terms of this contract. I understand cancellation penalties, deadlines,
design fees, and payment policies.
Signature_______________________________________________

Complete entire form. Email camera ready ads and or ad


material to: atggazettear@gmail.com.
Fax Contract to: 855-480-9127 For Assistance call: 321-329-5363
Name ______________________________________Date________
Business Name___________________________________________
Address_________________________________________________
City_______________________State__________ Zip___________
Phone________________________Fax_______________________
Email________________________Website____________________
Requested Newspapers

25

50

75

100

150

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