Company Name : Company Address: City: State: Zip: Phone: Fax: Email: Total Number of Placements: Size of Advertisement(s):   Dimensions (see rate sheet):   Month(s) to Run**:   Price per Ad (see rate sheet):   Total Gross Cost:   Billing Address :   Billing Contact with phone and fax numbers:   Buyer:   Format of Adverstisement for Production:   **County Executive Summary is a monthly newsletter published ten times per year. The publication is not published during the months of August and December. Please consider when buying ad space. In order to reserve advertising space in County Executive Summary, please email, fax or send a copy of this insertion order to: Kelly Griffin, Editor-in-Chief, County Executive Summary County Executives of America 1061 Hunter Avenue Pelham Manor, New York 10803 Tel: 1-800-296-8438 Fax: 914-738-1624 Email: gmgny@earthlink.net