Big Z Media Advertising Agreement

Advertising

AGREEMENT
Business Name
Business Address

Physical Address

Street Address Line 2

CityState

Zip Code
Business Website
Primary Contact Name

First NameLast Name
Primary Contact Email
example@example.com
Primary Contact Phone
Please enter a valid phone number.Format: (000) 000-0000.
Primary Big Z Medium

107.1FM WBGZ94.3FM MyMixBig Z DigitalSpecialty Publications
Minimum Advertising Term

3 Months6 Months12 MonthsOther
PAYMENT INFORMATION
Accounts Payable Name (if diferent)

First NameLast Name
Accounts Payable Contact Email (if different)
Used for login at advertiserportal.com/advantagenews
Accounts Payable Address (if different)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Payment Preference*

PrepayRequire Purchase OrderCharge my credit card for each invoiceCharge my credit card at the end of every month for all open invoicesCharge my credit card for for all open invoices if any age to 60 Daysfor Big Z Media Credit Card through Synchrony Bank®
Note: Upon completion of this form, you will be redirected to a secure server to input your credit card details.

No work shall begin until your payment method is secured.
Autorized Signature*
Signature Date

MonthDayYear
Date
Big Z Media Representative
Should be Empty:

Advertising