Advertising Contract

It is hereby agreed that the Broward County Dental Association (BCDA) will publish our advertisement in the issues which we have indicated.

It is further agreed that the advertisement will be composed of material acceptable to both parties. Advertisements should be submitted in black and white camera ready form, or may be e-mailed (Microsoft Word) to Sir Speedy printers at: sirsp5503@aol.com, and cc to: bcda@bellsouth.net. Please indicate in the e-mail "Subject" that it pertains to BCDA newsletter. Any costs incurred by the BCDA from the printer for the preparation of the ad will be the responsibility of the advertiser.

The advertiser may change the content or style of the advertisement provided he abides by the above agreement and presents the proposed changes by the deadline of the 10th each month.

Name of Company:

Mailing Address:

City:    State:    Zip:

Contact Person:    Phone:

I wish to advertise for the full eight issues
I wish to place my ad for one month:  (state month)
I am not interested in advertising at this time

________________________________________
Authorized Signature

__________
Date

We require one month's payment with the contract and prior to running any ad. Yearly contracts must be paid in full at signing.
Thank You.

Advertisement Submission: Select method of choice
(1) Complete form above, Pay for Ad via PayPal, and Submit... Print Form for your records.
(2) Complete form, Print Form for faxing or mailing with payment... Print Form for your records.
NOTE: A signed form must be faxed or mailed to usfor our records  if initially submitted on line