WeBe Press and California Contracts

Request For Sub Bid Ad Placement Order Form

Enter Your Company Information:

Company Name: _________________________________________________________

Contact Person: __________________________________________________________

Address: _______________________________________________________________

City: __________________________________ State: _____________ Zip: __________

Phone: _____________________________ Fax: Phone: __________________________

Notes: __________________________________________________________________

Purchase Order #: __________________________


ENTER PROJECT INFORMATION: Request Sub Bids From Certified MBE/WBE/DVBE

Project Name: ____________________________________________________________

Project #: ___________________ Location: ____________________________________

Bid Date: _______ Time: _________ Your Company Contact Name: ________________

Notes To Include In Ad: ____________________________________________________

Project Owner: ____________________________________ Phone No. ______________

AN EQUAL OPPORTUNITY EMPLOYER

Run Dates For WeBe Press and California Contracts:

1_________ 2__________ 3_________ 4_________ 5_________6_________

Fax This Information To: (800) 260-9323, Out of State Customers use (858) 974-9913

Cost is $48.00 per day, proof of Publication Will Be Faxed To You.

For Information Contact Sherman or John at (858) 974-9806

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