Hinsdale Magazine 2015 Agreement Form

HINSDALE60521.COM M A G A Z I N E Hinsdale TM 38 Blaine Street, Ste. 2 Hinsdale, IL 60521 email: graphics@Hinsdale60521.com phone: 630.655.3400 Advertising ADVERTISING AGREEMENT FORM HINSDALE - BURR RIDGE - CLARENDON HILLS - OAK BROOK 2015 Advertiser (ﬁll in completely): ______________________________________________ Contact Name: ________________________________________________________ Company Name: _______________________________________________________ Address: ______________________________________________________________ City/State/Zip: _________________________________________________________ Phone: _____________________________ Fax: ____________________________ Email: _________________________________________________________________ * Annual Agreement renews automatically for additional 12-month period with no rate increase. Advertiser must submit in writing within 30 days of the anniversary in-home date to cancel additional year of advertising space. Additional year renews under same terms and the advertiser will not receive any increase in rates for additional years regardless of printing cost increases or mailing cost increases. ** Ad placement is not guaranteed, unless advertisement is located in a premium position. Method of payment: q Visa q Amex q Mastercard q Discover Acct.#: _____________________________ Exp. Date: _________ C.C. Code: ____ Cardholders Name: _____________________________________________________ Authorization Signature: ________________________________________________ Rate $ ______________________________ Campaign Total $ ________________ I hereby authorize the Publisher to charge my credit card for each of the insertions ordered on this Agreement, in accordance with these payment terms. Signature _____________________________________ Date: ________________ Ad Consultant _________________________________ Date: ________________ Payment Information and Authorization * q New Agreement q Renewal Size of Advertisement q Spread q Full q 2/3 q 1/2 V q 1/2 H q 1/3 q 1/4 Frequency q 1x q 2x q 3x q 4x q 5x q 6x q 7x q 8x q 9x q 12x q 18x q 24x Special Request ** : ______________________________________________________________________________________ Additional Notes: _________________________________________________ _________________________________________________________________ _________________________________________________________________

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Transcript of Hinsdale Magazine 2015 Agreement Form

Page 1: Hinsdale Magazine 2015 Agreement Form

HINSDALE60521.COM

M A G A Z I N EHinsdale TM

38 Blaine Street, Ste. 2Hinsdale, IL 60521email: [email protected]: 630.655.3400

Advertising

ADVERTISINGAGREEMENT FORM HINSDALE - BURR RIDGE - CLARENDON HILLS - OAK BROOK

2015Advertiser (fill in completely): ______________________________________________

Contact Name: ________________________________________________________

Company Name: _______________________________________________________

Address: ______________________________________________________________

City/State/Zip: _________________________________________________________

Phone: _____________________________ Fax: ____________________________

Email: _________________________________________________________________

*Annual Agreement renews automatically for additional 12-month period with no rate increase. Advertiser must submit in writing within 30 days of the anniversary in-home date to cancel additional year of advertising space. Additional year renews under same terms and the advertiser will not receive any increase in rates for additional years regardless of printing cost increases or mailing cost increases. **Ad placement is not guaranteed, unless advertisement is located in a premium position.

Method of payment: q Visa q Amex q Mastercard q Discover

Acct.#: _____________________________ Exp. Date: _________ C.C. Code: ____

Cardholders Name: _____________________________________________________

Authorization Signature: ________________________________________________

Rate $ ______________________________ Campaign Total $ ________________I hereby authorize the Publisher to charge my credit card for each of the insertions ordered on this Agreement, in accordance with these payment terms.

Signature _____________________________________ Date: ________________

Ad Consultant _________________________________ Date: ________________

Payment Information and Authorization*

q New Agreement q Renewal

Size of Advertisement q Spread q Full q 2/3 q 1/2 V q 1/2 H q 1/3 q 1/4

Frequency q 1x q 2x q 3x q 4x q 5x q 6x q 7x q 8x q 9x q 12x q 18x q 24x

Special Request**: ______________________________________________________________________________________

Additional Notes: _________________________________________________

_________________________________________________________________