Youth Today 2012 Space Contract

Page 1

Issue

Space Contract

Method of Payment (Please check one):

Size/Color

Cost

___ Check ___ Money order ___ Credit card

Credit card #: _________________________________________________________________ Expiration date: ____________________________ Security code: _______________________ Cardholder name: _____________________________________________________________ Advertiser

Agency

Company: ___________________________ Contact: ____________________________ Title: _______________________________ Address: ____________________________ City: _______________________________ State: ______________ Zip: _____________ Phone: ______________________________ Fax: ________________________________ E-mail: ______________________________

Company: ___________________________ Contact: ____________________________ Title: _______________________________ Address: ____________________________ City: _______________________________ State: ______________ Zip: _____________ Phone: ______________________________ Fax: ________________________________ E-mail: ______________________________

Please mail your completed space contract to: The Center for Sustainable Journalism, Kennesaw State University 1000 Chastain Road Bldg. 22 MD 2212 Kennesaw, GA 30144 You may also reach us by fax at 770.423.6740, or via e-mail at advertise@youthtoday.org. Full name of person signing (please print): __________________________________________ Authorized signature:_________________________________________ Date: _____________ Please refer to contractual requirements sheet for conditions of agreement. Youth Today at Kennesaw State University • 770.423.6924 • advertise@youthtoday.org


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