Printed Ad Submission Form Advertiser informationBusiness or Organization(Required) Your Name(Required) First Last Preferred Method of ContactEmailPhoneYour Email Address(Required) Email Address Confirm Email Address Your Phone(Required)Ad informationPlease provide us with as much information as possibleStart Date MM slash DD slash YYYY Ad Type(Required) Regular Page Specialty Page Specialty Page Cover Banner (2.7 W x 1.8 H) Large Cover Banner Spot (7.3 W x 2.8 H)) Inside Cover, pg. 3 Premium Pages (5,7,9,11,13)) Centerfold (19.75 x 11) Inside Back Back Page 2 Page Spread (19.75 x 13) Insert (up to 8 pg booklet) Ad sizeSelect your Ad sizeFull Page (10 W x 12.5 H)Jr. Page (7.4 W x 9.5 H)Half Page (Vertical 4.9 W x 1.5 H / Horizontal 10W x 6.2 H)Quarter Page Color (4.9 W x 6.2 H)Eighth of Page Color (4.9 W x 2.8 H)Business Card (3.5 x 2 H)Number of Issues(Required)1 issue4 Issues12 Issues1 Issue - Full Page Color Price: 4 Issues - Full Page Color$675 Per Issue Price: 12 Issues - Full Page Color$650 Per Issue Price: 1 Issue - Jr. Page Color Price: 4 Issues - Jr. Page Color$475 per Issue Price: 12 Issues - Jr. Page Color$450 per Issue Price: 1 Issue - Half Page Color Price: 4 Issues - Half Page Color$325 per Issue Price: 12 Issues - Half Page Color$300 per Issue Price: 1 Issue - Quarter Page Color Price: 4 Issues - Quarter Page Color$200 per Issue Price: 12 Issues - Quarter Page Color$175 per Issue Price: 1 Issue - Eighth Page Color Price: 4 Issues - Eighth Page Color$115 Per issue Price: 12 Issues - Eighth Page Color$100 Per issue Price: 1 Issue - Business Card Color Price: 4 Issues - Business Card Color$90 per Issue Price: 12 Issues - Business Card Color$85 per Issue Price: Total Upload your files Drop files here or Select files Max. file size: 768 MB, Max. files: 5. Additional InstructionsCredit Card American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Expiration Date Month Month010203040506070809101112 Year Year20242025202620272028202920302031203220332034203520362037203820392040204120422043 Security Code Cardholder Name
