SPECIAL BILLING INSTRUCTIONS. CUSTOMER NAME: Xxxxxx.XX No: If Exhibit A.EG-NEG is used, then an Exhibits X.XX must also be completed to indicate the standard rates provided in conjunction with the negotiated provisions specified below. Exhibit X.XX is also needed to specify the accounting and metering information.
SPECIAL BILLING INSTRUCTIONS. CUSTOMER NAME: Transp. ID No.:
SPECIAL BILLING INSTRUCTIONS. 2 Completed only if a subtractive meter to the primary meter exists for service point number.
SPECIAL BILLING INSTRUCTIONS. (PLEASE PROVIDE AMOUNT TO BE BILLED FOR EACH MONTH) Choose a publication... Ad size... Choose a publication... Ad size... JAN (YEAR): $ FEB (YEAR): $ Choose a publication... Ad size... MAR (YEAR): $ APR (YEAR): $ Choose a publication... Ad size... Choose a publication... Ad size... MAY (YEAR): $ JUN (YEAR): $ Choose a publication... Ad size... JUL 22 (YEAR): $ 250.00 AUG (YEAR): $ NOTES: SUBTOTAL one month sidebar ad on website DISCOUNT SEP (YEAR): $ OCT (YEAR): $ TOTAL CHARGE $250.00 INITIAL PAYMENT/CREDIT NOV (YEAR): $ DEC (YEAR): $ FINAL BALANCE OTHER SPECIAL BILLING INSTRUCTIONS AGREEMENT Advertiser acknowledges receipt of and agrees to comply with all policies and requirements set forth in the Media Kit and within this Contract. THE ABOVE CONTRACT PROVISIONS ARE AGREED TO AND ACCEPTED BY (ADVERTISER OR AUTHORIZED REPRESENTATIVE OF) 29th June 2022 on this day of (month), (year) (ROGUE 5 MEDIA ACCOUNT EXECUTIVE) ACCOUNTING USE ONLY:
