Media Summit Program Advertising Contract 2008 Media Summit New York, McGraw Hill Building, March 12-13, 2008 Print Out and Return This Form Agreement dated_____________________Between Digital Hollywood and Company_________________________________________________________________ Your Name ______________________________Title_____________________________ Address__________________________________________________________________ City_______________________________State_________________Zip_______________ Telephone_______________________________Fax_______________________________ email_____________________________________________________________________ Your Signature_____________________________________________________________ Ad Size _________________Color_____________ Black & White____________ Ad Fee $___________________ $_____________Amount Enclosed Please Make Check Payable and Return To: Digital Hollywood, 421 Hudson St., #320, New York, NY 10014 or fax: 212-206-0476 For Help call: 212-352-9720. Payment in U.S. Currency. If check is drawn on a foreign bank, add $50 for collection. To Pay by Credit Card Visa MasterCard American Express (circle one) Card Holder Name____________________________________________________ Card Number________________________________________________________ Expiration Date________________________ Signature____________________________________________________________ Return to Media Summit Agenda