ROP OMG Sales Rep Name* Sales Rep Email* Client Name* Is this a straight pickup ad no changes?* Yes No Pickup ad#* Email address to send e-statement to* Does this order need to be put into Redbooth?* Yes No New AdvertiserIs this a new advertiser that needs to be set up in Pre1?* Yes No New Advertiser Contact* First Last New Advertiser PhoneNew Advertiser Email Billing Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Is physical address different to billing address?* Yes No Physical Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code ScheduleFirst Run Date* MM slash DD slash YYYY DEADLINE CRITICAL! THIS ISSUE IS DEADLINE CRITICAL Early proof needed by MM slash DD slash YYYY Is this ad past deadline?* Yes (LATE AD) No Are we applying a custom agreement to this order? Yes No Custom Agreement Type*Please select type of custom agreementPlease Select AgreementBusiness BuilderDollar VolumeCustom AgreementCommunity GrantSingle publication or Multiple publications?* Single Multiple Which multiple publications?*Select all publications in this multi-pub order. Cannon Falls Beacon (13 CFB) Fitchburg Star (28 FS) Great Dane Shopper (29 GDS) Green Laker (12 TGL) Las Vegas Optic (31 LVO) Oregon Observer (26 OO) Republican Eagle Wednesday (20 RE) Republican Eagle Saturday (20 RE) Ripon Express (10 RCX) Ripon Press (11 RCP) St. Albans Messenger (1 SAM) Sheboygan Sun (15 SH) Star-Observer (19 SO) Stoughton Courier Hub (27 SCH) Tempo (6 TMPO) Tri-County News (7 TCN) Verona Press (25 VP) Single Publication*Includes both Eagles. Cannon Falls Beacon (13 CFB) Fitchburg Star (28 FS) Great Dane Shopper (29 GDS) Green Laker (12 TGL) Las Vegas Optic (31 LVO) Oregon Observer (26 OO) Republican Eagle Wednesday (20 RE) Republican Eagle Saturday (20 RE) Ripon Express (10 RCX) Ripon Press (11 RCP) St. Albans Messenger (1 SAM) Sheboygan Sun (15 SH) Star-Observer (19 SO) Stoughton Courier Hub (27 SCH) Tempo (6 TMPO) Tri-County News (7 TCN) Verona Press (25 VP) Cannon Falls Beacon Run Dates* Fitchburg Star Run Dates* Great Dane Shopper Run Dates* Green Laker Run Dates* Las Vegas Optic Run Dates* Oregon Observer Run Dates* Republican Eagle Run Dates* Ripon Express Run Dates* Ripon Press Run Dates* St. Albans Messenger Run Dates* Sheboygan Sun Run Dates* Star-Observer Run Dates* Stoughton Courier Hub Run Dates* Tri-County News Run Dates* Tempo Run Dates* Verona Press Run Dates* New order detailsPO / IO (if provided / required) Ad Caption/Description* Ad Size CFB*Please Choose Ad Size1/16 (1col x 2.875" - 2.375"x2.875")1/8 (2col x 2.875" - 4.9165"x2.875")1/4 (2col x 6" - 4.9165"x6")Half Page H (4col x 6.25" - 10"x6.25")Half Page V (2col x 12.25" - 4.9165"x12.25")Banner Ad (4col x 2” - 10"x2")Full Page (4col x 12.25” - 10"x12.25") - NOT front pageOther (type size below)Post-it note (POSTIT)Ad Size (RE-SO)*Please Choose Ad SizeOther (type size below)Full Page (6 x 20.25”) - NOT front pageHalf Page (6x10")Quarter Page (3x10")Banner Ad (6 x 3”)Banner Ad TOP (6 x 2")2 x 52 x 42 x 32 x 21 x 41 x 3Skybox (SKYBOX2BY1)Post-it note (POSTIT)Ad Size RCP or RCX*Please Choose Ad Size1/8 (2col x 5 = 4.025" x 5")1/4 V (2col x 6 = 4.025" x 6")1/4 Sq (3col x 6.75 = 6.1" x 6.75")1/4 H (4col x 5 = 8.175" x 5")Half Page H (5col x 8 = 10.25" x 8")Full Page (10.25" x 16")Other (type size below)Ad Size SAM*Please Choose Ad SizeBanner (4 x 2 = 9.75"x2")1/16 (2.32"x2.85")1/8 (4.8"x2.85")1/4 (4.8"x5.87")Half Page H (9.75"x5.87")Half Page V (4.8"x11.9")Full Page (9.75"x11.9"Double Truck (21.5"x13.5")Other (type size below)Ad Size SH*Please Choose Ad Size1/8 (3x4 = 4.7917" x 4")1/4 (3x8 = 4.7917" x 8")1/2 H (6x8 = 9.75" x 8")1/2 V (4x11.25 = 6.4444" x 11.25")Front Banner (7.6042" x 3.875")Full Page (6x15 = 9.5" x 15")Double Truck (20.5" x 15")Other (type size below)Ad Size TCN or TMPO*Please Choose Ad Size1/16 (2x2.5 = 3.1389" x 2.5")1/8 (3x3.75 = 4.7917" x 3.75")1/4 (3x7.25 = 4.7917" x 7.25")1/2 H (6x7.25 = 9.75" x 7.25")1/2 V (4x11.25 = 6.4444" x 11.25")2x2 (3.1389" x 2")Front Banner (7.6042" x 3.875")Full Page (6x14.25 = 9.75" x 14.25")Double Truck (20.166" x 14.25")Other (type size below)Ad Size FS/GDS/OO/SCH/VP*Please Choose Ad SizeFront Banner (4x2.5 = 6.875" x 2.5")Key Ad (2.85" x 1.75") Single2x2 (3.375" x 2")2x4 (3.375" x 4")3x4 (5.125" x 4")3x8 (5.125" x 8")4x6 (6.875" x 6")GD Double Key Ad (5.812" x 1.75")GD Triple Key ad (8.766" x 1.75")GD B&S 1 (1x1.75 = 1.625" x 1.75")GD B&S 2H (2x1.75 = 3.375" x 1.75")GD B&S 2V (1x3.5 = 1.625" x 3.5")Ask A Pro (3x3 = 5.125" x 3")Full Page (6x16 = 10.375" x 16")GD Front Page (6x12 = 10.375" x 12")Double Truck (21.392" x 16.2")Other (type size below)Ad Size LVO*Please Choose Ad SizeBusiness card 2x2 (3.4305 in x 2in)Twelfth Page 2x5 (3.4305 in x 5 in)Eighth Page 3x5 (5.2292 in x 5 in)Quarter Page 3x10 (5.2292 in x 10 in)Half Page 6x10 (10.625 in x 10 in)Full Page 6x20 (10.625 in x 20.675 in)Other (type size below)Ad Size TGL*Please Choose Ad Size1/8 (2col x 5 = 4.025" x 5")1/4 V (2col x 6 = 4.025" x 6")1/4 Sq (3col x 6.75 = 6.1" x 6.75")1/4 H (4col x 5 = 8.175" x 5")Half Page H (5col x 8 = 10.25" x 8")Full Page (10.25" x 16")Other (type size below)Ad Size Other*Please enter Columns x Inches Color*Select both if you have ads running with both 4C and BW 4 Color Black and White Please specify which publication(s) are color* Section Placement*GeneralFront PageB Front PageA Section/Main NewsFront page KEY ADAsk A ProShop LocalSportsChurchObit PageAuction - AUCTEmploymentReal EstateDiningOther (Explain in notes)ClassifiedLegalCommunityService SpecialistSignature Pg/Ad GroupingBack PageGuaranteed Placement (Explain in notes)Other Placement Notes*Please enter details about this placement Guaranteed Placement Notes*Please enter details about this guaranteed placement No quote givenBill amount that comes from the options ordered. No quote given PriceTotal Quoted Price*(Price quoted to advertiser) PLEASE ENTER $ AMOUNT, NOT TEXT! $0 means no price given & should be the price it turns out to be when ordering. Pricing:*Open RateLift/Multi-Pub RatesCombo RatesTotal Mega BuyBusiness Builder/TOMAContractService SpecialistCG - Community GrantPower PackageNon-ProfitPRMO (50% Off)TRAD/PART/DONA/SPONOther***Any special pricing considerations (not in Pre1) Bill at Open Rate Yes Billing Notes (Do not submit Credit Card or Social Security numbers through this form)Please enter pricing per ad insertion.CreativeThe creative I'm submitting is:*Please selectNew ad content (includes Camera Ready that needs adjusting)Camera ready (NOTHING needs to be done - no border added or resized)Client submitting some images - ad needs to be designedPickup with changesPickup - no changesI will submit creative laterPROOF REQUIRED FOR CAMERA READY AD?If you do not need a proof select NO We will send you a proof if the ad is not to size or needed to readjust the ad. NO Yes Referencing/Picking up an old ad:*Provide reference number or information on when ad being picked up last ran Instructions & Text for designCopy and paste from email if necessaryAttach File(s) Art, Logos, Images, Old Ad, etc Drop files here or Select files Accepted file types: eps, doc, docx, pdf, txt, gif, jpg, jpeg, png, psd, ai, indd, eps, tif, xls, xlsx, jfif, bmp, Max. file size: 20 MB. NotesNotes to Ad Order Team