Docusign Envelope ID: 1A79D70E-6D8D-847A-800B-BFE0C43E9B3F
Advertising Agreement Mailbox Publishings, Inc. 2081 SE Ocean Blvd. • Suite 4 • Stuart, FL 34996 Phone 772.334.2121 • Fax 772.334.2221
5/21/2026
K Line Impact Windows & Doors
Company Name _______________________________________________________ Date _____________________ Contact Name ________________________________________ Specific Business ___________________________ Address_________________________________________ City_________________ State _______ Zip __________ Phone __________________ Cell __________________ Email _________________________________________ ppykosh@klineimpact.com Impact Windows & Doors Paul Pykosh Fort Pierce 4113 Bandy Blvd (301) 351-9883 (772) 667-0261 34981 Fl
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
01/31
776
4046690736161809
Account Number:
_________________________________________________________ Exp Date: _______________ CVV Code:
__________
Authorized Signature:
_____________________________________________________________________ Amount: $______________
34981
❏ I hereby authorize automatic payments for each issue X
Billing Zip Code: _____________________________
ADVERTISING PROGRAM
Vol. #
In Home
Size
Zone (s) / Section (s)
Investment*
A and O- Main A and O- Main
$398
1/2H
646-6/3/26
$398
1/2H
647-6/17/26
$398
A and O- Main
1/2H
648-7/1/26
$398
A and O- Main
1/2H
649-7/15/26
$398
A and O- Main
1/2H
650-7/29/26
$398
A and O- Main
1/2H
651-8/12/26
$398
A and O- Main
1/2H
652-8/26/26
$398
A and O- Main
1/2H
653-9/9/26
Instructions:________________________________________________________________________________
Paul Pykosh
Nina LaMonte
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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