Docusign Envelope ID: 25E31B5E-F233-8EB4-8048-26A4ADA44E2E
Advertising Agreement Mailbox Publishings, Inc. 2081 SE Ocean Blvd. • Suite 4 • Stuart, FL 34996 Phone 772.334.2121 • Fax 772.334.2221
Company Name _______________________________________________________ Date _____________________ Contact Name ________________________________________ Specific Business ___________________________ Address_________________________________________ City_________________ State _______ Zip __________ Phone __________________ Cell __________________ Email _________________________________________ FLORIDA ATLANTIC AIR CONDITIONING 2-22-2026 MARVIN PERALTA ac/ duct 5913 NW BRIANNA COURT PSL FLA 34986 772-224-5483 MPERALTA74@ICLOUD.COM
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
4802 7820 0052 2420
10/29
621
Account Number:
_________________________________________________________ Exp Date: _______________ CVV Code:
__________
198.00
Authorized Signature:
_____________________________________________________________________ Amount: $______________
34986
❏ I hereby authorize automatic payments for each issue
Billing Zip Code: _____________________________
ADVERTISING PROGRAM
Vol. #
In Home
Size
Zone (s) / Section (s)
Investment*
ZONE B
644-5/6/26 645-5/20/26 646-6/3/26 647-6/17/26 648-7/1/26 649-7/15/26 650-7/29/26 651-8/12/26 652-8/26/26 653-9/9/26 654-9/23/26 655-10/7/26 656-10/21/26
1/2H 1/2H 1/2H 1/2H 1/2H 1/2H 1/2H 1/2H 1/2H 1/2H 1/2H 1/2H 1/2H
198.00 198.00 198.00 198.00 198.00 198.00 198.00 198.00 198.00 198.00 198.00 198.00 198.00
ZONE B ZONE B ZONE B ZONE B ZONE B ZONE B ZONE B ZONE B ZONE B AND
ZONE B ZONE B ZONE B
Instructions:________________________________________________________________________________
MARVIN PERALTA
Sales Representative TRACY PADOVA GLEN FETZNER
Print Name/Title Authorized Advertiser
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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