Bengal's Purr Advertising Reservation Form
Email address *
Are you a new or existing client?
Clear selection
Name of business or organization *
Advertising contact person for your organization *
Phone number *
Preferred method of communication *
Mailing/billing address *
In which publications would you like to reserve ad space? (Check all that apply.) *
Required
Ad space dimensions *
Please choose your dimensions or targeted price below. Prices listed here do not reflect discounts or requested service fees.
Preferred billing and payment *
Advertising designs will come from *
Ad design frequency
Clear selection
Would you like to add Space Selection for 20% of the ad rate?
Clear selection
Preferred page/section for Space Selection
Clear selection
Would you like copies of The Bengal's Purr delivered to your workplace?
Clear selection
Number of copies to deliver
Delivery address for copies
Questions and comments
A copy of your responses will be emailed to the address you provided.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of Independent School District No. 1. Report Abuse