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Advertisement Contract Preparation Form
Home
Advertisement Contract Preparation Form
Advertisement Contract Preparation Form
Supermarket Advertisement Contract Preparation Form
We require this information to prepare your agreement accurately. Please provide the necessary details to proceed.
Privacy Assurance
We value your privacy. Your information will only be used for the purpose of providing the requested service and will never be sold, shared, or used for any other purposes.
Your Name
(Required)
First
Last
Business Name
(Required)
Your title
(Required)
(for example: Manager, Owner, Representative,...)
Your Address
(Required)
Street Address
Address Line 2
City
ZIP Code
Your Phone
(Required)
Your Email Address
(Required)
Email Address
Confirm Email Address
Type of Ad
Business, Service, Product Ad
Event / Concert Ad
SuperMarket
North Park Produce Poway
Duration
(Required)
1 Month
2 Month
3 Month
Duration
(Required)
3 Month
6 Month
9 Month
12 Month
(3 Month Minimum)
Start Date
MM slash DD slash YYYY
we should have the Ad file(s) ready at least 4 days before this date.
End Date
MM slash DD slash YYYY
Prices Listed Are for Information Only
No Payment Required via This Form
Monthly Rate
Price:
Event Ad Monthly Rate
(Required)
Price:
This field is hidden when viewing the form
Discount
$0.00
Total
more info or any comments:
Upload your file(s)
Drop files here or
Select files
Max. file size: 2 GB.
Upload your Ad image or Video .mp4 file (25sec Max)
How Can We Reach You?
Preferred Method of Contact
Phone
Email
Best Time to Call You
Select A Time
12:00 am
12:30 am
1:00 am
1:30 am
2:00 am
2:30 am
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5:30 am
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6:30 am
7:00 am
7:30 am
8:00 am
8:30 am
9:00 am
9:30 am
10:00 am
10:30 am
11:00 am
11:30 am
12:00 pm
12:30 pm
1:00 pm
1:30 pm
2:00 pm
2:30 pm
3:00 pm
3:30 pm
4:00 pm
4:30 pm
5:00 pm
5:30 pm
6:00 pm
6:30 pm
7:00 pm
7:30 pm
8:00 pm
8:30 pm
9:00 pm
9:30 pm
10:00 pm
10:30 pm
11:00 pm
11:30 pm
Δ
0
$0.00
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