Majirs Advertising and Design
EXPERIENCE MONTICELLO
RESERVE AD SPACE


Complete and submit the form below. Please complete fields as labeled. This system allows to pay either by check or credit card.
* denotes required fields
 COMPANY INFO
Company:  *
First Name:  *  Last Name: *
Address 1:  *
Address 2: 
City/State/Zip:  *  *  * 
Phone:  * Toll-free: 
Fax: 
Email:  *
Website: 
(ex: http://www.mysite.com)
 MAILING ADDRESS (if different from company address above)
Mailing Address: 
City/State/Zip:          
 BILLING ADDRESS (if different from company address above)
Billing Address:  *
City/State/Zip:  *   *  *
 COMMENTS
Description: 
I would like a representative to call me.
I would like to place an ad.
 
Submitting this form constitutes your agreement to follow and be bound by the following terms:
  1. It is your (the Advertiser) responsibility to verify the accuracy of all ad content . You will receive a proof via email, fax, or dropped off at your location.
  2. A non-refundable payment of 50% of the ad cost is due upon reserving your ad space. Final payment is due with approved proof or on publisher’s specified date.
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