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EBSCO Professional Pah-liership Group <br />DONOR IdAME: gac r r,ele- ??..-??„?,-? lfbww.? <br />ADDRESS: a- ?O j.g k.A l.t) a-:,( <br />CITY..A/a r O 1 vN-S(? <br />STATE Oj,."?? <br />ZIP ti 40 -.7,0 <br />f4 <br />MAGAZINE SHIP TO AD DRESS - RECiPt ENT CODE <br /> L <br /> C e <br /> L v R ? <br /> 0 Q L 44 1 4 , p -2 q <br />TELEPHONE: 0 r T'- 7 in U FAX: (44ka )7I1 -- 4 2kf la <br />DISPLAY RACK SHIPTO ADDRESS <br />EBSCO- EPP` tegional Office <br />P.O. Box 18 13v Cincinnati, OH 45218 ?,???°? °r ` <br />Phone (5 13) 742-300 t Fax (513) 742-8653 <br />International Headquarters • PO Box 830705 Birmingham, AL 35283 <br />1-800-528-3476 •Tel: (205) 980-3710 • Fax: (205) 991-1401 <br />DATE t1 `?J O ER# <br />SALES REPRESENTATIVE ck,n'v <br />TERRlTORY NUMBER ? ) I 3 <br />LOCATION'S INTe.n : COUNT?Y'? c,.? <br />I SPECIALiTY , ? O ? r (_t,- ,? <br />SIZE <br />WEEKLY VISITORS # YEARS in business <br />D NEW /f RENEWAL <br /># -LRACK (OPTIONAl.) ?WDOD QWOOD HEADER <br />LJ7AN ?TAN FiEADER ?TAN SFfELF GRAPHICS <br />?BLACK ?BLACK HEADER ?SLACK SHELF GRAPHlCS <br />?HEADER ART ONLY ?SIiELF AD ART ONLY <br /># _9_DELUXE BINDERSICOLOR 4r,_c.,t <br /># HALF-BACK POCKEfS <br /># SADDLEBAGS ?SHIP EMPiY ?HOLD FOR INSER7` <br /># _qINSERTS:TYPE u-r-S <br /># BACK PATCHES:TYPE <br />SPECIAL INSTRUCTIONS <br />O'vy, Ld {LT _ <br />NEN! ackrinN ? <br />2.) 27-Sr AV ?Id <br />3. ? ? ?? <br />-s ??. <br />s.) 44 Y J? <br />6., &AX&CWe? <br />8.) 4f'4 1 rJl-urail UJAI <br />9.) 00 a44,, ri.`l 0. ? <br />io.) ?O <br />i i.) ?? <br />12) ? ? <br />i3., ?0 <br />i4., ?? <br />i5.) ?? <br />16.) <br />17.) <br />18.) <br />19.) <br />zo.) <br />? <br />? <br />This is an Agreement between you, the Recipient, and <br />EBSCO Industries, Inc. <br />EBSCO AGREES TO FURNISH THE FOILOWING <br />SEHIIICES FOR A PERIOD OF -,I_ YEARS ON <br />BEHALF OF THE DONOR: <br />1. Popular rnagazines, listed at left, to be selected by <br />: you, ihe Recipient. <br />2. Deluxe protective binders. Each binder will indicate <br />the Donors name and message. <br />3. Opaonal magazine display stand. Ail binders and <br />stands remain the property of E8SC0. <br />YOU, AS RECIPIEN'f, AGREE TO: <br />1. Display and maintain the binders and magazines in <br />the designated area for the term of this Agreement. <br />2. Not display arry similar magazine service during the <br />time EBSCO fumishes these senrices. <br />3. Allow EBSCO representatives access to check servi <br />and remove stand and binders if Donor does not <br />renew its corrtract with EBSCO. <br />ACCEPTED AND APPROVEQ BY: <br />COMPANY NAME: <br />S(GNATURE: <br />PLEASE PRIIVT: <br />TITLE <br />.?:.,? .. ., . ...:... <br />r, . <br />oR <br />'