Reservation Form

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WaterView Home Network

2012 Reservation Form & Insertion Order

Fax Form to 866-424-5225


Advertiser Name ___________________________________

Key contact: ________________________________________

Address ____________________________________________

City __________________________

State___ Zip_________ e-mail:_____________________________

Tel./Toll-Free No.
_____________________

Email Address for Lead Reports: ___________________________________________                                

2012 Rates $2,110 Net for 12 months  

NOTE: a. You will be billed for the full amount at the signing of your contract.

               b. Cancellations made within 14 days of date on signed form entitled to full refund.

               c. Cancellations made 15-30 days after signing date entitled to 75 percent refund.

               d. No refunds for cancellations made after 30 days after signing date.

 
Web Page Instructions

I want to establish a hotlink from my WVH page to my Web site at:
www.____        __________________
                              

I will post a link to my WaterViewHome Network page from my website.      YES      NO  

I will post a "As Seen On WaterViewHome" icon on my website.
YES     NO

FOR 12-MONTH ADVERTISERS ONLY: Circle one month to be featured on the
WaterViewHome.net Home Page:

2012    June   July     August      September     October      November     December    

2013
    January      February     March     April    

Email Address for Leads: _________________________________________________

 Email Address for Bonus Newsletter Names: __________________________________

Authorized Signature___________________________________ Date:____________

 

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