Photo Business Mall Directory Contract/Application
Print, Complete and Mail
CONTRACT #______

 
ADVERTISING AGREEMENT 

Date__________ 

Your Company Name_________________________________________ 

Address___________________________________________________ 

City_________________State_____Zip Code______Tel#_________ 

I/We hereby agree to : Host and furnish one web page for one 
year under  the website of Your Personal Radio Diary. The rate 
of ______per year  beginning_______________thru___________ 

Advertiser Signature______________________________________ 

Advertiser Title__________________________________________ 

Your Personal Radio Diary Representative__________________
 


AGREEMENT TERMS AND CONDITION 

Your Personal Radio Diary” reserves the right to reject any 
advertisement and shall be under no liability what so ever for 
any error in advertising beyond liability to give the advertiser 
credit for so much of the space occupied by the advertisement as 
is materially affected by the error and its obligation to give 
such credit shall not apply to more than one incorrect insertion 
under contract or order. 
 

Company Information

Your Name______________________________________________

Company Name___________________________________________

Email address (if applicable)__________________________

Business Address, Phone,#, Fax#, and Location

_____________________________________________________________

_____________________________________________________________ 

Your Company Slogan/Motto____________________________________ 

A description of your service(begin)_________________________ 

_____________________________________________________________ 

_____________________________________________________________ 

_____________________________________________________________ 

_________________________________________________________(end) 
 

Business Category:_________________________________________ 
[Art, Automobile,Book Stores,Business Services,Clothing,Contractors,Computers,Cosmetics,Consultants,
Entertainment,Electrician,Eye Wear,Financial Services,Free Lance Writer,Graphic Design,Health & Nutrition
Home Based Business,Legal Services,Marketing,Printer,Publisher,Realtor,Restaurant,Service Station,Screen Printer
Technology ,Telecommunication,Tour Guide,Transportation,Travel,Video,Miscellaneous,other (explain)]
 

Make Check or Money order for $250.00 to  

Robert Cohens 
c/o “Your Personal Radio Diary”tm 
Post Office Box 71061 
Washington, D.C. 20024 

Allow 72 hours for setup 
301-808-0833 
Please mail this sheet back.    
Email www.radiodiary@Aol.Com. 

“MAKE A MILLION..YOU DESERVE IT!”