ADVERTISEMENT ORDER FORM for FAMILY FRIENDLY GAMING Please complete the following fields: Company Name _____________________________________________ Name (Please Print) _____________________________________ Address __________________________________________________ Address __________________________________________________ City ________________________ State _____ Zip _________ Email __________________________________________________ _____ Two page spread ad one issue ($50.00 US dollars) _____ Full page ad one issue ($25.00 US dollars) _____ Half page ad one issue ($12.50 US dollars) $_______ Subtotal $_______ Total Page(s) wanting ad on: ____________________________________ ___________________________________________________________ ___________________________________________________________ ___________________________________________________________ Please print and mail this with payment. Please make payment out to Paul Bury. Mail to: Family Friendly Gaming c/o Paul Bury 7910 Autumn Creek Drive Cordova, TN 38018 USA