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Youth Today at Kennesaw State University • 770.423.6924 • [email protected] Space Contract Issue Size/Color Cost Method of Payment (Please check one): ___ Check ___ Money order ___ Credit card Credit card #: _________________________________________________________________ Expiration date: ____________________________ Security code: _______________________ Cardholder name: _____________________________________________________________ Advertiser Company: ___________________________ Contact: ____________________________ Title: _______________________________ Address: ____________________________ City: _______________________________ State: ______________ Zip: _____________ Phone: ______________________________ Fax: ________________________________ E-mail: ______________________________ Agency Company: ___________________________ Contact: ____________________________ Title: _______________________________ Address: ____________________________ City: _______________________________ State: ______________ Zip: _____________ Phone: ______________________________ Fax: ________________________________ E-mail: ______________________________ Please mail your completed space contract to: e Center for Sustainable Journalism, Kennesaw State University 1000 Chastain Road Bldg. 22 MD 2212 Kennesaw, GA 30144 You may also reach us by fax at 770.423.6740, or via e-mail at [email protected]. Full name of person signing (please print): __________________________________________ Authorized signature:_________________________________________ Date: _____________ Please refer to contractual requirements sheet for conditions of agreement.

Youth Today Space Contract 2012

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Page 1: Youth Today Space Contract 2012

Youth Today at Kennesaw State University • 770.423.6924 • [email protected]

Space ContractIssue Size/Color Cost

Method of Payment (Please check one): ___ Check ___ Money order ___ Credit card

Credit card #: _________________________________________________________________

Expiration date: ____________________________ Security code: _______________________

Cardholder name: _____________________________________________________________Advertiser

Company: ___________________________Contact: ____________________________Title: _______________________________Address: ____________________________City: _______________________________State: ______________ Zip: _____________Phone: ______________________________Fax: ________________________________E-mail: ______________________________

Agency

Company: ___________________________Contact: ____________________________Title: _______________________________Address: ____________________________City: _______________________________State: ______________ Zip: _____________Phone: ______________________________Fax: ________________________________E-mail: ______________________________

Please mail your completed space contract to:The Center for Sustainable Journalism, Kennesaw State University1000 Chastain Road Bldg. 22 MD 2212Kennesaw, GA 30144

You may also reach us by fax at 770.423.6740, or via e-mail at [email protected] name of person signing (please print): __________________________________________

Authorized signature:_________________________________________ Date: _____________Please refer to contractual requirements sheet for conditions of agreement.