Horse N Tack Display Ads
Name of Business:
Owner:
Billing Address:
City:
County:
State:
Zip Code:
Telephone #:
E-mail Address:
Display Ad Options:
Ad Size
----------
Center Fold
Double Page
Front Cover
Back Cover
Inside Cover
Full Page
3/4 Page
1/2 Page
1/4 Page
1/6 Page
1/8 Page
Business Card
(see
ad rates
)
Length
----------
1 Month
2 Months
3 Months
4 Months
5 Months
6 Months
Start Month
----------
January
February
March
April
May
June
July
August
September
October
November
December
(deadline is the
20th
)
Color
----------
Black & White
Spot Color/2nd Color
Full Color
Ad Text
Credit Card Information:
Which card are you using?
Visa
MasterCard
Discover
American Express
Name on the card?
Card Number
Expiration date
  CSC Code**
   
   
   
** (3 or 4 digit security code on the back of your credit card)