Advertising Request Form Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Request Date *What is the purpose of the ad?Ad Details *Newspaper ad size *Full page – $300.00Half page – $150.00Quarter page – $75.00Other – $0.00Prices can be displayed or not………………………………….. If other ad size is needed. We will contact you for size options and pricing.Duration of the Ad *1 month2 month3 month6 month1 YearCompany Name *Address *Address Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeContact Person *Phone *Description of you companyWebsite addressPlease upload your logo here or email to Ivan@kjfilmworks.com Click or drag a file to this area to upload. Payment Method *CashCheckCredit CardAuto Debit Address the ad Notes, Remarks, or special instructionsSubmit
