Advertising Agreement Mailbox Publishings, Inc. 2081 SE Ocean Blvd. • Suite 4 • Stuart, FL 34996 Phone 772.334.2121 • Fax 772.334.2221
LPT Realty
05/04/26
Company Name _______________________________________________________ Date _____________________ Contact Name ________________________________________ Specific Business ___________________________ Address_________________________________________ City_________________ State _______ Zip __________ Phone __________________ Cell __________________ Email _________________________________________ Jim Fisher Real Estate 1926 14th ave Vero Beach FL 32960 (772)577-9882 jim@welcometovero.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
4270 2500 0007 8184
09/27
__________ 204
Account Number:
_________________________________________________________ Exp Date: _______________ CVV Code:
498.00
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*
645-5/20/26 647-6/17/26 649-7/15/26 651-8/12/26 653-9/9/26 655-10/7/26 657-11/4/26 659-12/2/26
Front Cover Front Cover Front Cover Front Cover Front Cover Front Cover Front Cover Front Cover
Q3 Lakewood Park FC $349 Q3 Lakewood Park FC $349 Q3 Lakewood Park FC $349 Q3 Lakewood Park FC $349 Q3 Lakewood Park FC $349 Q3 Lakewood Park FC $349 Q3 Lakewood Park FC $349 Q3 Lakewood Park FC $349
Front 4&5 $149 Front 4&5 $149 Front 4&5 $149 Front 4&5 $149 Front 4&5 $149 Front 4&5 $149 Front 4&5 $149 Front 4&5 $149
$498.00 $498.00 $498.00 $498.00 $498.00 $498.00 $498.00 $498.00
Instructions:________________________________________________________________________________
Jim Fisher
Christopher Astoske
Print Name/Title Authorized Advertiser
Sales Representative
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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