Sleepless City Booking

Advertiser or Company’s Name: .........................................................................................................

Address: ..................................................................................................................................................

City: .........................................................................................................................................................

Contact Name: .......................................................................................................................................

Telephone: ..............................................Mobile: ....................................Fax: ....................................

E-mail: …………………………………..........................................................................................................

Feilds of Ad:

Field: ………………………..........................................................................................................................

Ads Classification: .................................................................................................................................

Rate:........................................................................................................................................................

Only: .......................................................................................................................................................

This contract confirms the advertising placement of ............................................in the 2010 edition

of the sleepless city booklet I have read and understand the Contract Conditions and information

on the back of this form I agree to the rates as started above.

…………………………………

     Signature