![]() |
LETTER OF AGREEMENT HudsonValleyWeddings.com 120 Morey Hill Road · Kingston, NY 12401 845-336-4705, Fax: 845-336-6677 |
|
BUSINESS INFORMATION THAT WILL GO INTO THE AD Business Name _____________________________________________________________________ Business Address ___________________________________________________________________, City, State, Zip ________________________________________________, Business Area Code/Phone _______________________ Business Area Code/Fax ______________________ Business E-mail Address ______________________________________________ Business Web Site Address ____________________________________________. CONTACT INFORMATION This is where we will send renewal invoices. Where the information is the same as above, please write "same." I (name) __________________________________, representing the business named above, address ____________________________________________________________________________ Contact's area code/phone ________________, Contact's area code/fax________________, Contact's E-mail Address ____________________________, hereby contract for a twelve-month period in the _____________________________, and ______________________, ______________________, __________________________ category or categories. PLEASE CHECK AS MANY AS APPLY: 1.___ Plus Listing: $95 for 12 months, prepaid 2.___ Insert Page: $195 for 12 months, prepaid (Signature) _____________________________________ (Date) ______________ How did you hear about HudsonValleyWeddings.com? Is there someone we can thank? ____________________________________________________________________________________________ Please include your business name on your check and make it payable to Hudson Valley Weddings. Mail check, or credit card information to 120 Morey Hill Road, Kingston, NY 12401, OR FAX this form with your credit card information to (845) 336-6677. CHECK ONE CARD: ____VISA ____MasterCard ____DISCOVER ____AMERICAN EXPRESS CREDIT CARD NUMBER: _________________________________________________ EXPIRATION DATE: ___ / ___ SECURITY CODE: _______ AMOUNT: _________ PRINT NAME AS IT APPEARS ON THE CREDIT CARD: _________________________________________ BILLING ADDRESS: ______________________________________________________ ZIP CODE: ________ SIGNATURE: _____________________________________________________________ DATE: ____________ |