| Supermarket Advertisement Contract Preparation Form | We require this information to prepare your agreement accurately. Please provide the necessary details to proceed. |
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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 | Polina Logrue |
| Business Name | The Logrue Law Firm |
| Your title | Attorney |
| Your Address | 620 Newport Center Dr Ste 1100 Newport Beach, California 92660 United States Map It |
| Your Phone | (949) 758-4469 |
| Your Email Address | Email hidden; Javascript is required. |
| Type of Ad | Business, Service, Product Ad |
| SuperMarket | 18040 Culver Dr, Irvine, CA 92612 |
| Start Date | 04/21/2026 |
| End Date | 07/21/2026 |
| Prices Listed Are for Information Only | No Payment Required via This Form |
| Total | $1,170.00 |
| more info or any comments: | I would like help with the design as well please. I am attaching the photo I would like to use and an ad example. I would like the QR code to reflect my website. |
| Upload your file(s) |

