1. business and industrial
2. advertising and marketing
3. advertising

Please complete and submit this form to ADDA at PO Box 103, Denver, PA 17517 Phone/Fax: (800) 939-1019
Advertising Agreement
Advertiser (Company Name): _________________________ __________________________________
Contact Name: _______________________________________________________________________
Address: _____________________________________________________________________________
City: ___________________ __________________________ State: ______________ Zip: ___________
Phone: _____________________ Fax: _____________________ Email: _________________________
Newsletter Editions:
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January 20__
February 20__
March 20__
April 20__
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May 20__
June 20__
July 20__
August 20__
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September 20__
October 20__
November 20__
December 20__
Ad Size and Fees: (Check all that apply)
_____ Horizontal Double Banner (500 x 100 pixels):
□ Member ($350)
□ Non-member ($700)
_____ Horizontal Single Banner (500 x 100 pixels): …
□ Member ($125)
□ Non-Member ($250)
_____ Vertical Skyscraper Banner (150 x 330 pixels):
□ Member ($150)
□ Non-member ($300)
□ Receive an extra 10% discount when you prepay for 4 issues
Total Cost: $________________
Payment Information:
… □ Check enclosed (Make payable to ADDA)
□ Send me an invoice
□ Paid online
- or … □ Charge my credit card: □AMEX … □MC … □Visa
Name on Card: ________________________________________________
Card #: _____________________________________ Exp.:_____________
Signature: ____________________________________________________
Please complete and submit this form to ADDA at PO Box 103, Denver, PA 17517 Phone/Fax: (800) 939-1019
Please complete and submit this form to ADDA at PO Box 103, Denver, PA 17517 Phone/Fax: (800) 939-1019
Ad Submission Information:
ADDA accepts GIF, JPEG and PNG files. All ads must be submitted no later than the 5th of the month
desired for placement. For example, ads for the April issue are due by April 5th. ADDA’s newsletter is
released on or near the 20th of each month.
At times, edits or changes may be requested in order to ensure appropriateness for our community or to
comply with ad space and Web specifications. If edits are necessary, this will be communicated to you
for review and editing.
Agreement:
I understand that ADDA makes every effort to place ads appropriately, but cannot guarantee ad
placement.
ADDA retains the right to reject advertising from any group or individual, or to reject the copy, language
or format of any ad submitted for publication. ADDA does not endorse, and does not accept
responsibility for, any advertiser, product, or service advertised through the ADDA newsletter or Web
site. All payments are due prior to ad placement. Cancellations of reserved advertising space will not be
accepted after the deadline. Advertiser agrees to indemnify ADDA against any liability, loss or expense
as a result of claims or suits based on advertisement content.
Signature: _________________________________________
Date of Agreement: _____________
For ADDA Office Use Only
□ Submission Approved
□ Submission Approved with Edits
Fee Collected: □ Yes □ No
Total Price: ________________
Date of Submission:_________
Date to publish:________
□ Submission Denied
Approved by: ___________________________________________
Please complete and submit this form to ADDA at PO Box 103, Denver, PA 17517 Phone/Fax: (800) 939-1019