SYNERGY Advertising Agreement

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Contact Person Name *

First Name Last Name
Contact Person's Cell *

Area Code Phone Number
Alternative Phone

Area Code Phone Number
E-mail *
Company Name *
Address *

Street Address

Street Address Line 2

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Choose ad size

Back Cover $2,500 Inside Back Cover $1,800 Inside Front Cover $1,800 Two-page Advertorial $1,800 Full page $1,200 Half Page $800 Quarter Page $600
Deadline to submit creative is April 1, 2021

No refund for late submissions.
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CREDIT CARD PAYMENT

Back Cover $ 2,500.00

Inside Back Cover $ 1,800.00

Inside Front Cover $ 1,800.00

Two-Page Advertorial $ 1,800.00

Full Page $ 1,200.00

Half Page $ 800.00

Quarter Page $ 600.00

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Total $ 0.00

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