817-426-0944 • Fax 817-447-9711
3095 Burleson-Retta Rd.
Burleson, TX 76028

- Magazine Advertising Space Contract -
- Secure Form -

We Accept:

Use your TAB key on your keyboard to move between fields.
When finished, click on the "Submit" button.


Run an ad your already have

Please run, again, my ad that appeared in the issue of the Peruvian Digest.


New Ad

Please reserve (Size Of Ad) ad in the

(Date Of Issue) edition of the Peruvian Digest.

Please run the ad times.

If color separations or photos are involved please indicate the items you will be mailing to us:
color separations camera-ready ad rough draft

Please fax me a proof at

Comments:

Space Cost $            

Color Separations $   

TOTAL: $              

If you choose to run the ad more than once, we will bill you each time it runs. You do not have to pay the full amount up front.

Please complete the following information:

Name
E-mail
Phone #
Ranch Name
Address1
Address2
City
State
Zip

Total Amount:

Type of Credit Card:

Credit Card No.:

Expiration Date:

We will e-mail you and confirm your advertising space when your order has been processed.


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