| INTENDED USE: | brochure, print advertisement, billboard, etc.... |
| USE SIZE: | 1/4 page, full page, double page, etc..... Size of page. |
| PLACEMENT OF IMAGE: | inside, cover, etc..... |
| PRESS RUN OR CIRCULATION: | 5,000 brochures or an ad in a 250,000 press run magazine. |
| DURATION OF THE USE: | One-time, use for a year, etc.... |
| CONTACT INFORMATION: | Your name, company name, phone, fax, E-mail address, etc. |