JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
TRASA 2022 Advertising Form for Members and Non-Members
Please fill out the information below in order to let TRASA know what type of Ad you would like to purchase
*Please note that payments must accompany orders and must be received by the 1st of the prior month (ex: Oct 1 for the November issue)*
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Name
*
Your answer
Company Name
*
Your answer
Phone
*
Your answer
Email
*
Your answer
Are you a TRASA Member?
*
YES
NO
Newsletter AD (NON-MEMBERS ONLY)
Top Banner AD (black and white or color $200)
Bottom Banner AD (black and white or color $200)
Clear selection
What form of Advertisement? (MEMBERS ONLY)
Newsletter Top Banner (black and white or color $175 per issue)
Newsletter Bottom Banner (black and white or color $175 per issue)
Website Banner ($100 per month)
Email "Blast" ($60 for 1, $180 for 4 (buy 3 get 1 free), $360 for 8 (buy 6 get 2 free)
Facebook "Blast ($30 per post)
Clear selection
How many Email "Blast" ADs would you like? (MEMBERS ONLY EMAIL "BLAST AD)
1 Email "Blast" ($60)
4 Email "Blasts" ($180)
8 Email "Blasts" ($360)
Clear selection
What month would you like to have you AD up on the website? (MEMBERS ONLY WEBSITE AD)
January
February
March
April
May
June
July
August
September
October
November
December
Clear selection
What form of payment?
*
Check
Credit Card
Would you like an emailed receipt?
*
YES
NO
When submission is complete you will receive an email from Patti Ward, Executive Director of TRASA, with further information on your AD (such as payment, .JPG file, and AD schedule)
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of TRASA.
Does this form look suspicious?
Report
Forms