INSERTION ORDER

ADVERTISER:		CONTACT:
Organization Name and Address:		Name: Phone: E-mail:

AD SPECIFICATIONS:
Display Ad		Classified Ad
Columns wide:  Inches high:  Special effects:   Reverse   Color (green)   Photos or artwork Enter ad copy below, indicating type style, size, and placement.		Word count:  Enter ad copy below.

WHEN TO RUN THE AD:

What date should the ad start? (must be a Thursday) If you want the ad to run more than once, list the other dates OR you may tell us how many times you want the ad to run and how frequently you want the ad to run. weekly every other week monthly other (please specify)

TERMS AND CONDITIONS:
Unless credit has been previously established, all ads must be prepaid. Advertiser will be responsible for any ads placed in accordance with this order unless the Greenbelt News Review is notified immediately of any errors by calling 301-474-4131. Advertisements are not considered accepted until published.
printed name	_____________________ signature

HOW TO SUBMIT THIS FORM Fill out the form on this webpage, print it, sign it, attach payment, then submit it to the News Review office via mail or hand delivery.  No fax or e-mail, please.

HOWEVER -- if credit has been previously established or if the ad is prepaid, you may submit the form by fax or by

| Feedback | Home | Top |