Hyperlocal Print Insert Media Buying Authorization

Client Information
Client Name
Contact Person
Phone / Email
Billing Address
Campaign Details
Campaign Name
Start Date
End Date
Target Area(s)
Insert Specifications
Insert Size
Number of Pages
Quantity
Publication & Print Details
Publication Name(s)
Issue Date(s)
Distribution Method
Media Cost & Authorization
Net Media Cost
Other Fees
Total Amount Authorized
Terms & Notes
Client Signature
Date:
Authorized By
Date: