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Transportation Builder Magazine Advertising Form

Transportation Builder Magazine Advertising Form

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TB Advertising Form TB Advertising Form Document Transcript

  • builder® Advertising Information ADVERTISER: CONTACT/AGENCY: ADDRESS: CITY: STATE: ZIP CODE: PHONE: FAX: EMAIL: WEBSITE: ADVERTISER CATEGORY: SIZE/ORIENTATION/COLOR OPTION: FREQUENCY: RATE: PICK UP ARTWORK FROM: NEW MATERIAL TO ARRIVE BY: AUTHORIZED SIGNATURE: DATE: Place in Issue January/February March/April May/June July/August September/October November/December Payment PAYMENT OPTIONS (CHECK ONE): CHECK ENCLOSED BILL ME BILL MY: VISA MASTERCARD AMERICAN EXPRESS CREDIT CARD #: EXPIRATION DATE: SECURITY CODE: NAME ON CARD: SIGNATURE: TOTAL DUE: Return this completed form to Peter Embrey at pembrey@artba.org. For more information, contact ARTBA’s Peter Embrey at 202.289.4434 or pembrey@artba.org. ADVERTISING INSERTION ORDER FORM