Order Form

Project (required)
0Monmouth CountyRichmondBergen CountySeattleChicagoFairfield CountyJaxEl PasoSouth HoustonNorth VirginiaEast ValleyBergen Countybirmingham13

Agent (required)

Date (required)

------------------------------------Business Info-----------------------------------

Business Name (required)

Contacts Name (required)

Address (required)

City (required)

State: (required)

Zip Code: (required)

Phone 1: (required)

Fax:

Website:

Email: (required)

------------------------------------Design Specs----------------------------------

AD Size: (required)
Quarter PageHalf PageFull Page

AD Fee $: (required)

Extras: (required)
NoneEditorialExclusive

Artwork: (required)
Client will send ADBuild AD Off WebsiteClient will email ImagesClient Will email exact wordingClient will send AD to use as GuidelineOur art dept. has creative freedom

Placement:
NONEAcross Crossword Puzzle Top HalfAcross Crossword Buzzle Bottom HalfFirst Page-Full PageFirst Page-Top HalfFirst Page-Bottom HalfSecond Page-Full PageSecond Page-Top HalfSecond Page-Bottom HalfThird Page-Full PageThird Page-Top HalfThird Page-Bottom HalfFourth Page-Full PageFourth Page-Top HalfFourth Page-Bottom HalfFifth Page-Full PageFifth Page-Top HalfFifth Page-Bottom HalfFront Inside CoverBack Outside CoverAcross PGA Champions Tour ScheduleAcross PGA Tour ScheduleAcross ATP Tour ScheduleAcross LPGA Tour ScheduleCenterfoldCenterFold Right SpanCenterfold Left SpanAcross Services GuideAcross PrologueFront Inside Cover--Full PageFront Inside Cover--Top HalfFront Inside Cover--Bottom HalfBack Inside Cover--Full PageBack Inside Cover--Top HalfBack Inside Cover--Bottom Half

Placement details:

Please separate with a comma (,) each value Max 2

Index Listing: (required)

Include in AD:
AddressPhoneFaxWebsiteEmail

Slogan:

Business Logo: (required)
Client will provide logoWe should design a new logoWe should recreate existing Logo

(Colors, Previous Ads, Ref. Website, Additional Logos)

Design Suggestions:

-----------------------------Text Specification(Bullet Points)---------------------------

1:

2:

3:

4:

5:

No Text?:
Client Email Exact Wording and/or Bullet Points via email

Additional Wording:

------------------------------------Payment Detail----------------------------------

Paid: (required)
Paid in FullHalf Down

Deposit $: (required)

Second Half when:

--------------------------------Credit Card Information-------------------------------

Card Holders Name:

Credit Card Number:

Separate Dates with slash symbol(/)
Expiration Date:

CVV2:

Please Include Complete Billing Address, State, City and Zip Code

Billing Address:

--------------------------------Bank Account Information-------------------------------

Bank Name:

Bank Account Number:

Routing Number:

Name as it appears in the check:

Please Include Complete Billing Address, State, City and Zip Code

Address on check:

Δ