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PROFESSIONALHEALER.COM SITE ADVERTISING CONTRACT
| Contact Information: |
| Name: | ________________________________________ |
| Coampany Name: | ________________________________________ |
| Phone: | ________________________________________ |
| Fax: | ________________________________________ |
| Email: | ________________________________________ |
| Campaign Name: | ________________________________________ |
| Company Website: | ________________________________________ |
| Ad Package(s): | Six Months | One Year | Two Years |
| [ ] | Home Page Banner | [ ] | [ ] | [ ] |
| [ ] |
Category Page Banner | [ ] | [ ] | [ ] |
| [ ] |
Home & Category Page Banners |
[ ] | [ ] | [ ] |
| [ ] | School Listing in Schools page | [ ] | [ ] | [ ] |
| Banner Ad Total: | ________________________________________ |
Production Charge
If required $35 |
________________________________________ |
| Total Advertising Costs: | ________________________________________ |
| Start Date if not
immediate |
________________________________________ |
| URL Link To: | ________________________________________ |
Payment Information:
[ ] Check [ ] Money Order [ ] Purchase Order [ __________] Promo Code
| Name: | ________________________________________ |
| Address: | ________________________________________ |
| Address: | ________________________________________ |
| City: | ________________________________________ |
| State/Province: | ________________________________________ |
| Zip: | ________________________________________ |
| Country: | ________________________________________ |
You signature below indicates that you have read this contract and agree to the terms
of Professional Healer’s Advertising Policy.
| Print Name: | ________________________________________ |
| Advertiser Signature: | ________________________________________ | |
| Date: | ________________________________________ | |
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