I/we _______________________ hereby agree to advertise
             (advertiser name)
with __________________________on the _____________ page
           (Real Estate Company or Agent)
of the _______________________ edition of HOMES NEWSPAPER.
                    (town or city)
The ad is full process color.
Starting in __________ for a period of __________ editions.
                       (month)                                         (quantity)
This edition and all subsequent editions will be delivered within the first 10 days of
each month to __________ homeowners.
                                  (quantity)
 
Ad Size:
     
2" x 3 1/2": 21 ads per page at $__________ per issue = $__________
3" x 2 1/4": 16 ads per page at $__________ per issue = $__________
2 1/2" x 5": 12 ads per page at $__________ per issue = $__________
3 1/4" x 5": 8 ads per page at $__________ per issue = $__________
Other _________________ $__________ per issue = $__________
  
Date: ____________________
Company: ____________________
Name: ____________________
Signature: ____________________
Address: ____________________
____________________
Telephone: ____________________
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