The Echo World Advertising Agreement

Organization: _____________________________________________

Contact Person: ___________________________________________

Phone: ____________________________________________________

Email: _____________________________________________________

Address: __________________________________________________

City/State/Zip: ____________________________________________


Ad Size: __________

Agreed price is $ _________

Please run my ad __1x, __3x, __6x __12x

All ads must be prepaid first month.


Credit Card number: ____________________________________________________

Name as it appears on card: _____________________________________________

Expiration date: ___________________________ Security Code: _______________

Billing Address: _________________________________________________________

City/State/Zip: __________________________________________________________


SIGNATURE: _____________________________________________________________

DATE: _________________