Buy Direct Advertising, Inc.
Insertion Order - Print, Complete and Fax Back to 435.627.0782
Call Letters:
Contact:
Station:
Title:
Coverage:
Street:
Households:
City:
Phone:
State:
Fax:
Zip:
E-mail:
Web site:
Infomercial Program Selection (Circle One)
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Today's Date: | |
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| Two Minute | Pay-Out | Other | Pay-Out | ||||
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(Buy Direct will provide User Name & Password for download)
User name:
Password:
PLEASE CONFIRM, SIGN, AND FAX BACK
Station Representative:
Buy Direct Group:
Buy Direct Advertising, Inc.
511 East St. George Blvd. Suite H, St. George, Utah 84770
Voice: 435.627.2299 Fax: 435.627.0782
