ADVERTISEMENT ORDER FORM for FAMILY FRIENDLY GAMING





Please complete the following fields:

Company Name _____________________________________________

Name (Please Print)  _____________________________________

Address __________________________________________________

Address __________________________________________________

City    ________________________ State _____ Zip _________

Email   __________________________________________________




_____  Full page ad one issue ($160.00 US dollars)

_____  Half page ad one issue ($80.00 US dollars)

_____  Quarter page ad one issue ($40.00 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
345 Triple J DR
Lonoke, AR 72086
USA