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Sponsorship Agreement
Advertiser
*
Address (City State Zip)
*
Telephone
*
Email
*
Which Market
*
Plattsburgh NY
Erie PA
Saratoga NY
Ticonderoga NY
Phoenix AZ
Mannitoba CA
San Francisco CA
Tucson AZ
Indianapolis IN
Dallas TX
Lexington KY
Toms River NJ
Albany NY
Agreement
*
Does Sponsor have Pre-recorded ads
*
Yes
No
Contact for Ad (If Any)
Notes for Ad Copy
Payment Choice
*
Annually (10% Discount)
Monthly 150.00 (Billed in Advance)
Payment Method
*
Credit / Debit Card
Pay Pal
Check
Credit / Debit Card Number
Billing Address (If Different
CVC Code
Check Number (If Paying by Check)
Make Check Payable to : Laurie Suddard
Pay Pal Email
If Paying by PayPal, we will invoice you at this Pay Pal Address OR, you can pay via Pay Pal NOW by sending the amount due to: lauriesudd@aol.com
TSN REP
*
Name & Contact Number
Total Amount of Contract
*
Amount Being Paid Today
*
Affirmation
Date of Acceptance
*
Website
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