Advertiser:

Date:

DBA:(if applicable):

Client Contact:		Phone:
Address:		Email:
City:		State:		Zip:

You are invited to reserve the following space for your advertisement at the indicated cost and subject to the conditions
as notes hereon:

MARKET	SIZE	SHAPE	COLOR	RATE PER INSERTION*
Cincinnati/Dayton, OH Columbus, OH Indianapolis, IN

Additional Instructions: *We agree that this order is subject to terms and provisions. A service charge of 1.5% per month wiIl be added to any account whose balance is unpaid 30 days after publication. All discounts including, but not limited to, frequency, agency, multipage, insert, pre-pay, non-profit, and rate protection will be charged back to the contract price if advertiser fails to pay as set forth herein. Delinquent accounts will be referred for collection; the advertiser agrees to pay all collection costs incurred by the publisher, including attorney's fees. Rates for space do not include production costs, which will be billed separately.

POSITION	Best possible at publisher's sole discretion	Preferred (10% additional)
MATERIALS	Camera Ready	TO BE PRODUCED by SuccessGuide       (due no later than space deadline)
BILLILNG	Direct to Advertiser or Through Agency

	Authorized Advertising Agency		Authorized Individual for Billing Purposes
Name:		Name:
Address:		Title:
	City                                  State	Date:
Zip:
Phone:
Contact:

Send all Contracts, Insertion Orders, Artwork, Film and Payments to:
SuccessGuide, 4010 Executive Park, Suite 406, Cincinnati, OH 45241
Ph: 513-733-8732 Fax: 513-769-3255
Email: jtillman@successguide.com.