BLAQUELINE Magazine Ad Form
REQUEST FOR ADVERTISING SPACE
Thank you for your interest in advertising with BLAQUELINE Magazine. Please fill out this REQUEST FOR ADVERTISING and we will contact you to go over details and availability before the order is completed. If you would like faster service and direct information on current space availability as well as pricing, please contact us at (512) 790-0569 or at
Company/Agency Name (billing name)
Please publish our company information on the BLAQUELINE Magazine website.
Include any special instructions for your ad here.
Buyers Contact information
This information will be used for our representative to contact you about your ad request.
Preferred contact method
Ad size and price
$50.00 Full Page Ad - FPA1000
$25.00 1/2 Page Ad - HPA2000
$15.00 1/4 Page Ad - QPA3000
$10.00 Business Card Ad - BCA4000
$10.00 Business Directory Ad (monthly) - BDA5000
Business Website Link
Ad Payment Information
All ads are a ONE TIME PAYMENT and will be displayed for three months. Except for the Business Directory Ad, it requires a $10 per month payment. The Business Ad is NOT automatically renewed. An email will be sent requesting that you renew your ad placement each month. If we do not receive a response within 7-business days, your ad will be cancelled. Business ads are not in priority placement order, nor can priority placement be requested for Business Directory Ads. Full page ads have priority placement. PLEASE TYPE YOUR SIGNATURE BELOW TO CONFIRM YOU AGREE WITH THE ABOVE STATEMENT.
Once your ad has been set for placement and all edits approved, you will be sent an invoice link to make your payment. BLAQUELINE accepts all major credit / debit cards for payment. You will be notified via email if there are issues processing your payment. If we do not receive a response from you within 24 hours regarding questions about your ad and/or payment, your order will be cancelled. All payment information is secure and processed via the Stripe payment portal.
Upload of Files*
*Please email your company logo and a sample of your ad layout to
. All photos and/or logos must be in high-resolution format. Blurred and/or low resolution files will not be accepted.
By typing your signature here, you agree to have your company/agency information listed in BLAQUELINE Magazine and all social media platforms. Additionally, you certify that all company names and logos are your approved property to be used and shared with BLAQUELINE Magazine. You also certify that all information submitted to BLAQUELINE Magazine is true and no false and/or misrepresented information has been submitted.
Send me a copy of my responses.
Never submit passwords through Google Forms.
This form was created inside of BLAQUELINE Entertainment.