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Program Ad and Field Banner Order Form
Company Information:
Company Name:
Address:
City, State, Zipcode:
Contact Name:
Contact Phone (Use (###)###-#### format):
Contact Email:
Make your selection(s) below:
BANNER (4'x 6')
NEW ($500)
RENEWAL ($250)
Program Ad:
COVER
Ad Only ($1,000)
w/ Banner ($1,350)
INSIDE COVER
Ad Only ($500)
w/ Banner ($900)
BACK COVER
Ad Only ($1,000)
w/ Banner ($1,350)
FULL PAGE
Ad Only ($250)
w/ Banner ($680)
1/2 PAGE
Ad Only ($150)
w/ Banner ($590)
1/4 PAGE
Ad Only ($75)
w/ Banner ($520)
BUSINESS CARD
Ad Only ($35)
w/ Banner ($510)
If you are REUSING your BANNER and adding a Program Ad remember to select AD ONLY and the BANNER RENEWAL ($250) above
Attach Banner or Ad image file. JPEG, JPG, PNG, TIFF, BMP, & GIF files accepted.
How do you want your Banner and/or Ad to read:
