Company:
Date:
Contact:
Title:
Address:
City:
State:
Zip:
Email:
Authorized Signature:
Billing Contact (if different from above):
Address:
City:
State:
Billing Zip:
Ad Options:
Full Page (Bleed)
8.625" x 11.125"
(.125" on all sides outside trim area)
$995.00
One Half Page (H)
7.5"x 4.875"
$750.00
One Half Page (V)
3.635" x 9.875"
$750
One Third Page (V)
2.375" x 9.875"
$500.00
One Third Page (Square)
4.875" x 4.875"
$500.00
1/4 Page
3.635" x 4.875"
$400.00
1/6 Page (H)
4.875" x 2.375"
$250.00
1/6 Page (V)
2.375" x 4.875"
$250.00
Preferred Placement:
Back Cover
$1,500.00
Inside Front/Back Cover
$1,250.00
Inside First/Last Page
$1,200.00
Centerfold Spread
17.125" x 11.125"
$2,800.00
Card Number (no dashes):
Name as it appears on card:
Billing address for card:
Expiration date (mm/yy):
CVC code (three digits on the back side of card):