Acrylic Barter Agreement Form
Between Call Me Ozz Dot Net (Hereafter referred to as: CMO) and (Name of person agreeing to advertise)
Client Name:
AGREEMENT OF SERVICE
AGREEMENT OF SERVICE - ACRYLIC BARTER PROGRAM
NOTICE: This agreement is only for the agreement of placing the acrylics in place, not for the advertisements. A separate agreement must be placed for the advertisements.
Today's Date:
Title:
Name of Business: (Hereafter referred to as client)
Address:
City, State and Zip:
Business Phone Number:
Contacts Cell Phone:
E-Mail:
Acrylic placement date:
Acrylic renewal date:
The said client agrees to place acrylics in client’s place of business in return for % discounts on said advertisements. (See advertising agreement for details)
By electronic signing below, all parties agree to the terms set above, and payment confirms agreement of terms of service: (Text Boxes below)
By completing and submitting the form above, you are agreeing to Agreement of Service
Date
Date
Representative for CMO
Authorized Representative for Client
DISCOUNT
$
SUBTOTAL
$
$
$
ADJUSTED TOTAL
GROSS RECEIPT TAXES
GRAND TOTAL
$
Submitting a falsified form is fraud
