Media Kit | Page 11

P . O . BOX 297465 Hollywood , Florida 33029 Tel : 1.877 . GUIDE01 ( 1.877.484.3301 ) Fax : 1.877 . GUIDE02 ( 1.877.484.3302 )
Date :

INSERTION ORDER

Rep :
Company : Phone : Address :
Fax :
Contact : Email :
Industry Listing ( The below information is how your company ’ s information will be printed in the Table of Contents & Contact Lists )
Company :
Phone : Website :
Magazine Insertion Schedule
Issue # 1 Issue # 2 Issue # 3 Issue # 4 Issue # 5 Issue # 6
Volume # Total Ads Due this Issue
Total Ads in IO : Total Due for IO :
Terms :
FAX OR EMAIL COMPLETED CONTRACT TO : FBIG PUBLICATIONS EMAIL : Ads @ BuyersIndustryGuide . com FAX : ( 877 ) 484-3302 FPHONE : ( 877 ) 484-3301
CREDIT CARD PAYMENT . If you wish to make payment by credit card , please complete and sign . ALL SECTIONS MUST BE COMPLETED TO PROCESS CREDIT CARD PAYMENT .
IF YOU WISH TO PAY THE BALANCE BY CHECK , BIG MUST RECEIVE THE FULLBALANCES PRIOR TO THE AD DEADLINE . IF CHECK IS NOT RECEIVED YOUR CREDITCARD WILL AUTOMATICALLY BE CHARGED FOR THE BALANCE .
Ad Deadlines
Dec / Jan Issue - Oct 15 Feb / March Issue - Dec 15 April / May Issue - Feb 15
MAKE CHECKS PAYABLE TO : “ BIG Publications , LLC .” MAIL CHECKS TO : BIG Publications , LLC P . O . Box 297465 Hollywood , FL 33029
June / July Issue - April 15 Aug / Sept Issue - June 15 Oct / Nov Issue - Aug 15
Check one : ______ MasterCard
______ Visa
_______ Amex
_______ Discover
______________ Security Code
Credit Card Number _____________________________________________ Exp . Date __________ /___________
_______ Please check here if you would like the entire balance charged to your credit card at this time . Authorized Signature ___________________________________________________________________________________ Print name as it appears on card _______________________________________________________________________ Card Holder ’ s Address : ( must be same as credit card billing address ) Street ___________________________________________________________________________________________________ City / State ______________________________________________________ Zip / Postal Code ________________________
Amount Authorized $_________________________________________________________
THIS CONTRACT WILL AUTO RENEW ON THE LAST ISSUE OF THE CONTRACT ANY CHANGES ARE TO BE MADE IN WRITING 60 DAYS PRIOR THE LAST ISSUE TO AVOID ANY GAPS IN EXPOSURE
Signature Date
Printed Name
Signature for BIG Printed Name