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  ONLINE ORDER FORM  
     
 

Use this form to place your Ad order for the 2004 Eureka Chamber Community Directory.

AVAILABLE AD SIZES

AD SIZE TYPE MEMBER PRICE NON-MEMBER PRICE
Whole Page Black/White $300.00 $450.00
Half Page Black/White $180.00 $280.00
Quarter Page Black/White $100.00 $200.00


NOTE: 
All fields marked in RED are required!!

Business Name:    
Street Address:    
City:    
State:    
Zip:    
Phone Number:    
Fax Number:    
Contact Name:    
Contact Email:    
     
Are you a current
Chamber Member?
 
     
Members
Select Ad Type Here
 
     
     

FOR 2004 MEMBERS ONLY

This year Premium Locations will be available to 2004 members by lottery

Indicate which premium space(s) you want (below) and a priority ranking should your name be drawn for more than one location. You must submit your lottery ticket by October 31, 2003. To be eligible to win the Lottery for this ad space, you must be a 2004 renewed member and pay the advertising by November 7th. Lottery Winners will be announced at our November 5th 2003 General Membership Meeting.

Would you like to participate in this years lottery for premium ad placement?

If you selected yes, you would like to participate, please complete  the following. Otherwise submit the form.
PREMIUM SPOT LOCATION AD SIZE / TYPE PRICE RANK (select 1-4)
FRONT COVER 1/4 page, color $375.00
BACK COVER whole page, color $500.00
INSIDE FRONT COVER whole page, b/w $400.00
INSIDE BACK COVER whole page, b/w $300.00
 

ADDITIONAL QUESTIONS/COMMENTS :

 

 

 

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