Special Section / Group Pages Sales Rep Name* Sales Rep Email* Client Name* DEADLINE CRITICAL! THIS ISSUE IS DEADLINE CRITICAL Early proof needed by MM slash DD slash YYYY Is this a new advertiser that needs to be set up in Pre1?* No Yes Email address to send e-invoice to* New Advertiser Contact* First Last New Advertiser PhoneNew Advertiser Email Billing Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Is physical address different to billing address?* yes no Physical Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Is this ad past deadline?* Yes (LATE AD) No Name of special section*Please include name of special section (EX: Hastings Grad Tab) Special Section/Page Date publishing* MM slash DD slash YYYY Select Publications*If applicable 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) Does this special section ad include online?* Yes No Please specify which type of online ad goes with this adPlease selectFlipbookOtherSpecial Rates:NoneContractREPETRAD/PART/DONA/SPONOther (Explain in notes)Special Rates Notes* PO / IO (if provided / required) Ad Placement Notes(Guaranteed or premium positions) Ad Size*(If full page please specify the bleed) Color* 4 Color Black and White Total Price The creative I'm submitting is:*Please selectNew ad content (including PDFs that need adjusting)Pickup - no changesPickup with changesCamera ready (Absolutely NOTHING needs to be done to this)I 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 Pickup previous year's ad?* Yes No Referencing/Picking up an old ad:*Provide reference number or information on when ad being picked up last ran Billing Notes (Do not submit Credit Card or Social Security numbers through this form)*Must at least enter cost of ad.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: doc, docx, pdf, txt, gif, jpg, jpeg, png, psd, ai, indd, eps, tif, xls, xlsx, bmp, Max. file size: 20 MB.
