Bengal's Purr Advertising Reservation Request
Email address *
Are you a new or existing client?
Name of business or organization *
Your answer
Advertising contact person for your organization *
Your answer
Phone number *
Your answer
Preferred method of communication *
Mailing/billing address *
Your answer
In which publications would you like to reserve ad space? (Check all that apply.) *
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
Would you like to add Space Selection for 20% of the ad rate?
Preferred page/section for Space Selection
Would you like copies of The Bengal's Purr delivered to your workplace?
Number of copies to deliver
Your answer
Delivery address for copies
Your answer
Questions and comments
Your answer
A copy of your responses will be emailed to the address you provided.
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