The Fountain

Business Direcotry Listing Form:

Billing Information

Busniess:

Contact First Name:

Contact Last Name:

Address:

City:

State:

Zip code:

Phone (day):

Phone (evening):

Fax:

Email address:

Size

1x rate

3x rate

6x rate

12x rate

Directory

25.00

20.00

15.00

3x minimum run

*Additional 2.5% Discount off total amount for contracts paid in full in advance

Rates listed in US Dollars. Rates subject to change.

Net Total:

Directory Listing Information

Listing Description:
(20-25 words Max)

Listing Category:

Terms and Conditions:
We reserve the right to edit down listings that exceed the line/word maximum.

Advertiser agrees to place advertising in The Fountain as outlined above. All advertising contracts are subject to approval by The Fountain. All payments must be made in full by insertion deadline. Send checks (payable to The Fountain) to address below.

Rate Terms
Advertisers on contract receiving frequency rate discounts that do not fulfill the term of their contract will be short-rated and billed the amount discounted. Rates listed in US Dollars. Rates subject to change.

Payment
The Fountain
PO Box 2122,
San Marcos, CA 92079-2122
Phone: 800-497-1309
www.thefountain-online.com

Questions:
Contact us 800-497-1309 or by email.

Yes, I understand this is a binding contract with The Fountain Media Group to print my advertisement according to instructions listed above. I agree to the Terms, Conditions and Rates listed above.