This Insertion Order is between a Publisher and an Advertiser that wants to advertise in
the Publisher’s publication. This agreement specifies important details of the
advertisement, such as the advertisement copy’s due date, the publisher’s fees, the ad’s
position, the ad’s frequency, and more. It is vital to get Insertion Order’s in writing to
ensure that the understandings of both parties are properly set forth. This agreement
can be used by individuals or small businesses that want to advertise or sell
advertisement in a particular publication.
THIS INSERTION ORDER (hereinafter referred to as the “Insertion Order”) is made and
entered into as of __________________, [Instructions: Insert the date of this agreement] by
and between ________________________ [Instructions: Insert the Publisher’s name]
(hereinafter referred to as the “Publisher”), of _________________________________
[Instructions: Insert the Publisher’s address] and ________________________ [Instructions:
Insert the Advertiser’s name] (hereinafter referred to as the “Advertiser”), of
_________________________________. [Instructions: Insert the Advertiser’s address]
WHEREAS, Publisher is the publisher of the publication entitled
“________________________” [Instructions: Insert the name of the Publisher’s publication]
WHEREAS, Advertiser desires to reserve space and insert the advertising material set forth in
Exhibit “A”, attached hereto and incorporated herein (the “Ad”) in the Publication; and, subject
to the terms and conditions contained herein, Publisher desires to insert the Ad into the
NOW, THEREFORE, in consideration of the promises and other good and valuable
consideration set forth, the parties agree as follows:
1. THE AD
a. No less than __________ (___) [Instructions: Insert the number of days before
the ad begins that Advertiser will submit to Publisher the ad copy] days’ prior to
Advertiser’s proposed commencement date for the Ad insertion, Advertiser shall submit to
Publisher: (i) a proof of the Ad (“Copy”). Copy for Ads should be carefully reviewed by
Advertiser. Publisher shall not be liable for any material errors or misspellings on Ads.
b. Publisher will review Advertiser’s submission and within __________ (___)
[Instructions: Insert the number of days after receipt that Publisher has to approve the ad]
days’ of Publisher’s receipt of said submission will indicate if Publisher agrees to accept the
proposed insertion. If accepted, Publisher will invoice Advertiser for the Screen Time.
c. The subject matter, form, size, wording, illustration, and typography of the Ad
shall be subject to the approval of Publisher, but unless otherwise authorized, no change shall be
made without the prior written consent of Advertiser.
d. In the event that Publisher is unable to set any advertisement in the type or style
requested, Publisher shall immediately notify Advertiser and follow Advertiser’s instructions. If
Publisher is unable to secure definite instructions from Advertiser, the advertising shall be
e. Where material furnished by Advertiser occupies more space than specified in the
insertion order, Publisher shall immediately communicate with Advertiser for definite
© Copyright 2013 Docstoc Inc. registered document proprietary, copy not 2
instructions. If Publisher is unable to secure definite instructions from Advertiser, the advertising
shall be omitted.
2. PROOF OF INSERTION
Upon publication of the Ad, a copy of the page of the Publication containing the Ad shall be
supplied to Advertiser along with Publisher’s invoice for the insertion. Upon Advertiser’s
request, a copy of each issue in which the advertising appears may be supplied.
a. In full consideration of all rights granted herein, Advertiser shall pay Publisher
__________ Dollars ($____) [Instructions: Insert the amount Advertiser will pay Publisher
per issue that the ad is inserted] per issue that the Ad is inserted. Upon publication of the Ad,
Publisher shall provide Publisher with proof of publication and an invoice for the insertion. All
compensation due hereunder shall be due and payable within __________________
[Instructions: Insert the length of time Advertiser has to pay Publisher’s invoice] of
Advertiser’s receipt of Publisher’s invoice.
b. In the event that Advertiser fails to make payment of the above fees and/or costs
and expenses, on the dates indicated herein, Advertiser shall be charged a late payment fee,
which shall be equal to interest at rate of __________ percent (___%) [Instructions: Insert the
interest rate that will be applied to delinquent payments] compounded [Instructions: Choose
one] annually OR monthly. Advertiser shall also be responsible for all reasonable costs related
to recovery of such unpaid payments, including, but not limited to, administrative and attorney’s
fees that may be incurred by Publisher and/or Publisher’s representatives in an effort to collect
past due amounts owed to Publisher for more than __________________ [Instructions: Insert
the length of time Advertiser has to pay Publisher’s invoice] (“Collection Costs”), which
Collection Costs shall be added to the amounts due to Publisher and paid by Advertiser. All
payments made by Advertiser following the incurrence of Collection Costs by Publisher shall
first be credited to Collection Costs amounts and then to the past due invoice until the account is
4. REPRESENTATIONS, WARRANTIES, INDEMNIFICATION, LIMITATION OF
a. Advertiser represents and warrants to Publisher that: (i) Advertiser has the full
power and authority to enter into this Insertion Order and perform all of Publisher’s obligations
hereunder; (i) Advertiser owns and/or has the right to use all content, including all trademarks
and copyrighted material, provided to Publisher hereunder; (iii) the Copy of the Ad supplied by
Advertiser to Publisher: is true and correct in every respect, does not contain anything that is,
defamatory of any person or entity, indecent, obscene or constitute a statement that is misleading
or deceptive or likely to mislead, does not infringe any copyright, trademark or other intellectual
or other rights of any person.
© Copyright 2013 Docstoc Inc. registered document proprietary, copy not 3
b. Advertiser will defend, indemnify and hold harmless Publisher from and against
all losses, damages, liabilities, penalties, costs and expenses (including reasonable attorney’s fees
and expenses) incurred or sustained by it or them arising in any manner out of or in connection
with Advertiser’s breach of this Insertion Order, including but not limited to breach of any of
Advertiser’s representations, warranties or agreements contained herein.
c. IN NO EVENT SHALL PUBLISHER HAVE ANY LIABILITY TO
ADVERTISER FOR ANY INDIRECT, DIRECT, CONSEQUENTIAL, SPECIAL OR
EXEMPLARY DAMAGES, INCLUDING, WITHOUT LIMITATION, LOSS OF PROFITS
OR TIME OR BASED IN TORT, HOWEVER CAUSED. PUBLISHER SHALL NOT BE
LIABLE FOR ANY COSTS INCURRED BY ADVERTISER AS A RESULT OF REJECTED
COPY, WITHDRAWN OR OMITTED ADS, AND/OR FOR SCHEDULING ADJUSTMENTS
OR CHANGES. PUBLISHER EXPRESSLY DISCLAIMS AND EXCLUDES ALL
WARRANTIES OR GUARANTEES REGARDING PUBLISHER’S SERVICES OR ANY
PORTION THEREOF, INCLUDING WITHOUT LIMITATION ANY EXPRESS
WARRANTY, ANY IMPLIED WARRANTIES OF MERCHANTABILITY OR FITNESS FOR
A PARTICULAR PURPOSE, AND/OR ANY OTHER IMPLIED WARRANTY.
a. No failure by either party to perform any of its material obligations hereunder
shall be deemed a breach hereof, unless the non-breaching party has given written notice of such
failure to the breaching party, and the breaching party fails to cure such non-performance within
thirty days after receipt of such notice (fifteen (15) days with respect to non-payment).
b. All notices, statements and/or requests for approvals (each a "Notice") that either
party hereto is required or may desire to give to the other party shall be given in writing by
addressing the same to the other party at the addresses set forth above, or at such other address as
may be designated in a Notice to the other party. Notices shall be made by personal delivery,
courier, or by certified U.S. mail, return receipt requested, postage prepaid. Notice shall be
deemed given on the date of delivery to the other party.
c. This Insertion Order constitutes the entire agreement between the parties hereto
with respect to the specific subject matter hereof and supersedes all prior agreements or
understandings of any kind with respect to the specific subject matter hereof.
d. In the event that any provision or part of this Insertion Order shall be deemed void
or invalid by a court of competent jurisdiction, the remaining provisions or parts shall be and
remain in full force and effect.
e. Any and all additions, deletions, or modification to this Insertion Order must be in
writing and signed by the parties or it shall have no effect and shall be void.
f. This Insertion Order is binding upon and shall inure to the benefit of the
respective successors, licensees and/or assigns of the parties hereto. Notwithstanding the
foregoing, neither party may assign or transfer its rights or delegate its obligations under this
© Copyright 2013 Docstoc Inc. registered document proprietary, copy not 4
Insertion Order without the other party's prior written consent, which consent will not be
g. This Insertion Order shall be governed in accordance with the laws of the State of
_________________________ [Instructions: Insert the state’s laws that will govern this
agreement] applicable to agreements to be wholly performed therein, without giving effect to its
laws governing conflict of laws.
IN WITNESS WHEREOF the parties have duly executed this Insertion Order as of the date
first set forth above.
__________ [Instructions: Insert Name] __________ [Instructions: Insert Name]
Authorized Signatory Authorized Signatory
© Copyright 2013 Docstoc Inc. registered document proprietary, copy not 5
1. THE AD
a. Ad Size: __________________ [Instructions: Insert the proposed ad size]
b. Color/Bleed: _______________ [Instructions: Insert the color/bleed of the ad]
c. Start Date: ________________ [Instructions: Insert the start date of the ad]
d. End Date: ___________________ [Instructions: Insert the end date of the ad]
e. Frequency: _________________ [Instructions: Insert the frequency of the ad]
f. National or Regional: ____________________ [Instructions: Insert region]
g. Position Request: __________ [Instructions: Insert the position request]
h. Special Instructions. ________ [Instructions: Insert special instructions, if any]
© Copyright 2013 Docstoc Inc. registered document proprietary, copy not 6
INFORMATION AND FORMS ARE PROVIDED "AS IS" WITHOUT ANY EXPRESS OR IMPLIED WARRANTY OF ANY KIND
INCLUDING WARRANTIES OF MERCHANTABILITY, NONINFRINGEMENT OF INTELLECTUAL PROPERTY, OR FITNESS
FOR ANY PARTICULAR PURPOSE. IN NO EVENT SHALL DOCSTOC, INC., OR ITS AGENTS, OFFICERS, ATTORNEYS,
ETC., BE LIABLE FOR ANY DAMAGES WHATSOEVER (INCLUDING, WITHOUT LIMITATION, DAMAGES FOR LOSS OF
PROFITS, BUSINESS INTERRUPTION, LOSS OF INFORMATION) ARISING OUT OF THE USE OF OR INABILITY TO USE
THE MATERIALS, EVEN IF DOCSTOC HAS BEEN ADVISED OF THE POSSIBILITY OF SUCH DAMAGES. They are for
guidance and should be modified by you or your attorney to meet your specific needs and the laws of your state or jurisdiction. Use at
your own risk. Docstoc® is NOT providing legal or any other kind of advice and is not creating or entering into an Attorney-Client
relationship. The information, reports, and forms are not a substitute for the advice of your own attorney. The law is a personal matter
and no general information or forms or like the kind Docstoc provides can always correctly fit every circumstance.
Note: Carefully read and follow the Instructions and Comments contained in this document for your customization to suit your specific
circumstances and requirements. You will want to delete the Instructions and Comments from open bracket (“[“) to close bracket (“]”)
after reading and following them. You (or your attorney) may want to make additional modifications to meet your specific needs and the
laws of your state. The Instructions and Comments are not a substitute for the advice of your own attorney.
◊ Where within this document you see this symbol: ◊ or an instruction states “Insert any number you choose◊,” or something similar, or
there is a blank for the user to complete, please note that although Docstoc believes the information or number may be any that the user
chooses, and that there is no law governing what the information or number should be, you might want to verify this, including by
consulting with your own attorney practicing in your state. Because the law is different from jurisdiction to jurisdiction and the laws are
subject to change, Docstoc cannot guarantee—and disclaims all guarantees—that it is correct for the information or number to be
anything that the user chooses.
The information, forms, instructions, tips, comments, decision tree alternatives and choices, reports, and services in and through Docstoc
are not legal advice, but are general information / forms on general issues often encountered designed to help Docstoc users, members,
purchasers, and subscribers address their own needs. But information, including tips, general forms, instructions, comments, decision
tree alternatives and choices, and reports, no matter how seemingly customized to conform to the laws and regulations applicable to you,
is not the same as legal advice, which may be the specific application of laws and regulations by lawyers licensed to practice law in your
state to the specific circumstances and needs of individuals and entities. Some states, counties, municipalities, and other governmental
divisions, have highly specific laws and regulations, and our information / forms / reports may not take all those specific laws and
regulations into consideration, although we tried to do so.
Docstoc is not a law firm and the employees and contractors (including attorneys, if any) of Docstoc are not acting as your attorneys, and
none of them are a substitute for the advice of your own attorney licensed to practice law in your state. The employees or contractors of
Docstoc, who wrote or modified any form, instructions, tips, comments, decision tree alternatives and choices, and reports, are NOT
providing legal or any other kind of advice and are not creating or entering into an Attorney-Client relationship. Any such form,
instruction, tips, comments, decision tree alternatives and choices, and reports were most likely NOT prepared or reviewed by an
attorney licensed to practice law in your state, and, therefore, the employees or contractors could not provide you with legal advice even
if they or Docstoc wanted to. Even though we take every reasonable effort to attempt to make sure our information / forms / reports are
accurate, up to-date, and useful, we recommend that you consult a lawyer licensed to practice law in your state if you want professional
assurance that our information, forms, instructions, tips, comments, decision tree alternatives and choices, and reports; your
interpretation of it or them; and the information and input that you provide are appropriate to your particular situation. Application of
these general principles and wording to particular circumstances should be done by a lawyer who has consulted with you in confidence,
learned all relevant information, and explored various options. Before acting on these general principles and general wording, you might
want to hire a lawyer licensed to practice law in the jurisdiction to which your question pertains. The information, forms, instructions,
tips, comments, decision tree alternatives and choices, and reports, available on and through Docstoc are not legal advice and are not
guaranteed to be correct, complete, accurate, or up-to-date. Because the law is different from jurisdiction to jurisdiction, they are subject
to changes, and there are varying interpretations and applications by different courts and governmental and administrative bodies, and
Docstoc cannot guarantee—and disclaims all guarantees—that the information, forms, and reports on or through the site and services are
completely current or accurate. Please further note that laws change and are regularly amended; therefore, the provisions, names, and
section numbers of statutes, codes, or regulations, and the types of permits or licenses within any forms or reports, may not be 100%
correct, as they may be partially or wholly out of date and some relevant ones may have been omitted or misinterpreted.
Docstoc is not permitted to engage in the practice of law. Docstoc is prohibited from providing any kind of advice, explanation,
opinion, or recommendation to a consumer about possible legal rights, remedies, defenses, options, selection, or completion of
forms or strategies.
NOT protected by the attorney-client privilege or work product doctrine since Docstoc is not a law firm and is not providing legal
advice. No Docstoc employee, contractor, or attorney is authorized to provide you with any advice about what information
(again, which includes forms) to use or how to use or complete it or them.
Entire document copyright © Docstoc®, Inc., 2010 - 2013 All Right Reserved
© Copyright 2013 Docstoc Inc. registered document proprietary, copy not 7