This brochure space order form allows companies to purchase advertising space in an upcoming brochure. It collects the customer's contact information and allows them to select either a $100 "Spotlight" ad or a $75 "Testimonial" ad. The customer provides their ad copy and logo or testimonial, and mails the form with payment to the contact listed. Space in the brochure is limited and will be filled on a first-come, first-served basis.

1. Brochure Space Order Form
Date:
Name
Company Name
Phone
eMail Address
Pricing: Spotlight - $100 Testimonial - $75
Type # of Spaces Price Line Total
Spotlight $100.00
Testimonial $50.00
Total
Send your logo and spotlight copy for spotlight orders or send your testimonial copy with
photo to donnagamache@ewomennetwork.com. Please put eWN Brochure copy in the
subject line.
Mail this form with check payable to Donna Gamache at 708 Greeley Avenue, Webster Groves,
MO 63119.
Limited spaces so order early. This is first-come first-served. Brochure will be ordered when