Online Sign-Up Form

Billing: Businesses will be billed 50% of their total cost after the November 2004 issue is published and 50% after the May 2005 issue is published. Please contact us if you have any questions.

Please select the Ad Package or Option you would like as described our ad rates pages.

New Business options
Ad Package 1   2   3   4  5   6  


First Name   Last Name

Business Name:  

Mailing Address:

Street Address:  

Town: Zip:

Phone:   E-mail:

List your Website address below. Select up to two categories for each listing. If you don't find a category which describes your listing, provide the category you would like next to "Other" .

Website Address



   

              

If you purchased a 1/4 page, please indicate the dimensions you would like:
3 5/8" (w) x 5" (h) 7 1/2" (w) x 2 1/2" (h)

If you purchased a 1/2 page, please indicate the dimensions you would like:
3 5/8" (w) x 10" (h) 7 1/2" (w) x 5" (h)

Information to include in display ad

I have an image/logo I would like used in the ad. I will e-mail it to you. (images
submitted should be at least 150 DPI. JPEG or Tiff files are recommended).

Preferred method of receiving a proof of your ad for approval

E-mail Snail Mail Fax