Docusign Envelope ID: 7ADA1150-625C-8576-839E-CB5E4ED2AB81
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 _________________________________________ BISHOP GORDON TRANSPORT LLC 5-14-2026 DOROTHY GORDON HANDYMAN SERVICES 2826 STONEWAY LANE FTPIERCE FLA 34982 772-251-4456 772-359-1747 DRSPOT.1960@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
4060 5552 2710 0371
0826
591
Account Number:
_________________________________________________________ Exp Date:
_______________ CVV Code: __________
300.00
Authorized Signature:
_____________________________________________________________________ Amount: $______________
34982
❏ I hereby authorize automatic payments for each issue
Billing Zip Code: _____________________________
ADVERTISING PROGRAM
Vol. #
In Home
Size
Zone (s) / Section (s)
Investment*
ZONES F, B AND T ZONES F, B AND T ZONES F, B AND T ZONES F, B AND T ZONES F, B AND T ZONES F, B AND T ZONES F, B AND T ZONES F, B AND T
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
1/4V 1/4V 1/4V 1/4V 1/4V 1/4V 1/4V 1/4V
300.00 300.00 300.00 300.00 300.00 300.00 300.00 300.00
Instructions:________________________________________________________________________________
Print Name/Title Authorized Advertiser DOROTHY GORDON
Sales Representative TRACY PADOVA GLEN FETZNER
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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