Advertising Agreement Mailbox Publishings, Inc. 2081 SE Ocean Blvd. • Suite 4 • Stuart, FL 34996 Phone 772.334.2121 • Fax 772.334.2221
Pro Auto & Truck Auto
05/06/26
Company Name _______________________________________________________ Date _____________________ Contact Name ________________________________________ Specific Business ___________________________ Address_________________________________________ City_________________ State _______ Zip __________ Phone __________________ Cell __________________ Email _________________________________________ Erik Fugate Automotive 2930 se Kensington st. Stuart FL 34997 772-286-4866 772-284-8215 Proauto2930@gmail.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
5348 6001 2370 2174
01/31
__________ 135
Account Number:
_________________________________________________________ Exp Date: _______________ CVV Code:
99.00
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*
645-5/20/26 646-6/3/26 647-6/17/26 648-7/1/26 649-7/15/26 650-7/29/26 651-8/12/26 652-8/26/26 653-9/9/26 654-9/23/26 655-10/7/26 656-10/21/26
1/4H 1/4H 1/4H 1/4H 1/4H 1/4H 1/4H 1/4H 1/4H 1/4H 1/4H 1/4H
Zone O Zone O Zone O Zone O Zone O Zone O Zone O Zone O Zone O Zone O Zone O Zone O
99.00 99.00 99.00 99.00 99.00 99.00 99.00 99.00 99.00 99.00 99.00 99.00
Instructions:________________________________________________________________________________
Eric Fugate
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.
Made with FlippingBook Digital Proposal Creator