Advertising Media Purchase Authorization Slip

Advertising Media Purchase Authorization Slip

Issued To

Company Name

Email

Date Issued

[Your Partner Company Name]

[Your Partner Company Email]

[Month Day, Year]

Advertisement Details

Advertisement Type: 

[Banner Ad]

Advertisement Placement: 

[Website Homepage]

Duration:

[30 days]

Advertisement Cost: 

[$5,000]

Payment Method: 

[Credit Card]

Authorization

I, [Authorized Representative’s Name], representing [Your Company Name], hereby authorize the purchase of the above-mentioned advertising media from [Your Partner Company Name]. I confirm that all details provided in this authorization slip are accurate.


Date: [Month Day, Year]

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