Request ad file

Please fill out this form to request an ad file that has been designed by our staff. The request will be fulfilled ASAP. More complete information will help our staff fulfill the request in a more timely manner.

Newpspaper or Agency Requesting Ad:

Name of Person Requesting Ad:

Phone:

Date of Request (Today):

Deadline:

Date you need to receive the ad by.

Deadline Time:

Time you need the ad by

Advertiser:

Size of Ad:

Production Information: New Ad (Has Not Run in the Gazette as of Date of Request)
Existing Ad (Has Already Ran in Gazette - please provide run date below)

Date the ad appeared in the Gazette:

If this ad has not yet ran in the Gazette, it may take us longer to fulfill your ad request. In some way, you need to identify which ad you want us to send to you.

Special Instructions:

Are you running this ad in color? (Additional fee of $25 for color ads):

Ads that will be run in color will have an additional $25 fee.

Yes
No

Email ad to:

Authorization

By checking this box, you are agreeing to pay our standard rate for producing ads:

Ad that has already run in the Gazette(black & white) - $25

Changes to an existing ad or ad that has not yet run in the Gazette (black & white) - $40

All Color Separations - additional $25

Your newspaper/agency account will be billed for the ad. Subject to billing approval.

By submitting this form, you are agreeing to pay our standard rate for producing ads:

Ad that has already run in Gazette (black & white) - $25
Changes to an existing ad or ad that has not yet run in Gazette (black & white) - $40
All Color ads - $50

Your newspaper/agency account will be billed for the ad. Subject to billing approval.