Local Event Program Ad Placement Order
Contact Information
Organization / Business Name
Contact Name
Email
Phone
Ad Selection
Ad Size
Dimensions
Rate
Select
Full Page
Half Page
Quarter Page
Eighth Page
Ad Material
How will you submit your ad?
Digital File
Request Design Assistance
Special Instructions / Notes
Billing Information
Billing Address
City
State/Province
Zip/Postal Code
Payment Method
Credit Card
Check
Invoice Me
Authorized Signature
Date