Lexington Concord Brochure Commitment Form

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Lexington Concord Brochure Commitment

Basic Information

Name of Company

Mailing Address

City

State/Province

Zip/Postal

Contact Name

First

Contact Last Name

Last

Title

Phone

Changes

Are changes needed?

Check here if changes need to be made

Changes (if any)

Commitment

Lexington and Concord Brochure Listing ($385.00)

Lexington and Concord Brochure Ad Position ($1075.00)

Lexington and Concord Brochure Inside Panel ($800.00)

Please attach your ad, the size should be 3.46” wide x 1.75” high and in full color

Maximum file size: 20MB

Authorization & Payment

Name of Person Submitting Information

First

Last Name of Person Submitting Information

Last

Order Total

Payment Method

Credit Card

Invoice Me

Credit Card

If you are human, leave this field blank.

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Lexington Concord Brochure Commitment Form

Basic Information

Changes

Commitment

Authorization & Payment

Search