Docusign Envelope ID: 49170D36-E1C5-4BCA-AC9F-09313E3FB50E
Advertising Agreement Mailbox Publishings, Inc. 2081 SE Ocean Blvd. • Suite 4 • Stuart, FL 34996 Phone 772.334.2121 • Fax 772.334.2221
04/20/2026
Gallery Grill
Company Name _______________________________________________________ Date _____________________ Contact Name ________________________________________ Specific Business ___________________________ Address_________________________________________ City_________________ State _______ Zip __________ Phone __________________ Cell __________________ Email _________________________________________ Dining Hakan Karaahmet (Sarah POC) 33469 561-575-3775 FL hakankaraahmet3@gmail.com 383 Tequesta Drive 561-908-3963 sarah Jupiter
FIRST PAYMENT DUE WITH INSERTION AGREEMENT Please fill in the information below to authorize payment.
PAYABLE TO MY LIVING MEDIA
ACH – DIGITAL CHECK
Bank Name:_______________________________________________ Bank Address: ________________________________________________________
Routing Number: ________________________________ Account Number: _____________________________ Amount: $________________________
❏ Check here to authorize automatic payments for each issue.
Authorized Signature:
________________________________________________
– CREDIT CARD –
3% CONVENIENCE FEE
Account Number:
_________________________________________________________ Exp Date: _______________ CVV Code:
__________
Authorized Signature:
_____________________________________________________________________ Amount: $______________
❏ I hereby authorize automatic payments for each issue
Billing Zip Code: _____________________________
ADVERTISING PROGRAM
Vol. #
In Home
Size
Zone (s) / Section (s)
Investment*
D & N
549
Full Page
644-5/6/26
549
D & N
Full Page
646-6/3/26 647-6/17/26 645-5/20/26
549
D & N
Full Page
549
D & N
Full Page
549
D & N
Full Page
648-7/1/26
549
D & N
Full Page
649-7/15/26
549
D & N
Full Page
650-7/29/26
549
D & N
Full Page
651-8/12/26
Instructions:________________________________________________________________________________
Hakan Karaahmet
Rita Kapper
Print Name/Title Authorized Advertiser
Sales Representative
GF
Authorized Signature of Advertiser
Sales Manager
The undersigned states that he/she is authorized by the above business to sign this Agreement and agrees to be personally liable, jointly, and severally, under this contract regardless of wether or not he/she has any ownership interest in above business; and agrees to abide by all terms of this contract. This agreement is not in effect until accepted and approved by Mailbox Publishing management.
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