The Billboard Ad Placement Form
Thank you for placing your ad in the Billboard. Please fill in all the fields of this form. If something does not apply for you, you can type NA in a field.
First Name: Last Name:
Company:
Address:
City: State:
Zip Code:
Country:
Phone: Fax:
Email Address:
Email CC - This check box when selected will send a CC (carbon copy) of the form data to your email address.
Please choose The Billboard Section for the section of the The Billboard that you want your listing to appear in. Then, type in your Headline or multiple Headlines. Next, type in your Regular Lines. You will be charged $5.00 per line for Headlines and Regular Lines.
1. Choose The Billboard Section:
2. add Headline/s:
20 characters per headline line; multiple headline lines OK; headlines will be bold, capitalized and centered; each headline line counts as one line. Each Billboard Ad must have at least one Headline:
Type your HEADLINE in the box below. You can use hyphenation to use your space more efficiently
Count and enter the number of Headlines here:
3. add Regular Billboard Ad Lines:
30 characters per line, as many lines as you want.
Type your REGULAR LINE in the box below. You can use hyphenation to use your space more efficiently. If you do not want any REGULAR LINES and want to only use HEADLINES, then type "none" in the box below.
Count and enter the number of Regular Lines here:
Add your Logo or Photo to your Billboard Ad for ony $10. Photo should be a tif or jpg file. Maximum size is 2MB. Photo dimensions can be less than 2". Resolution is 200dpi. You must reselect photo if you are returned to this form because of a missing field.
4. Add Photo or Logo (optional)
Check here if your want a photo or logo with your Billboard Ad:
Click on "Choose File" to upload photo or logo:
Special notes or comments for Connection Magazine (these will not appear in your listing). You can put your Credit or Debit Card information (number and expiration date) here, however it does not go to a secure Shopping Cart site yet. If you do not want to put your Credit or Debit Card information here, please call us at (831) 459-0522 to complete payment for your BillBoard Ad.
5. agree to BillBoard Ad Terms and Conditions
Payment in full must be made when you submit your BillBoard Ad, and no refunds can be authorized after submission. Please check your Ad the first week that it appears. If you find an error, report it immediately. Corrections must be reported 15 days before publication to be corrected for next publication. Publisher assumes no responsibility for errors or omissions of copy. If in the publisher's opinion the error is serious enough to affect response, Connection Magazine will publish a corrected version of the ad; however, no adjustment will be made on purely aesthetic grounds (or for an error's consequences). Liability for an error shall not exceed the cost of space occupied by such error. Classification is at Connection Magazne's discretion and may be changed without notice. The order within each classification is random and cannot be prearranged. Advertisements are accepted upon the representation that the advertiser and/or its agency has the right to publish the contents thereof. In consideration of such publication, the advertiser and its agency agree to indemnify and hold the publisher harmless against any expense or loss by reason of any claims arising out of publication. Connection Magazine reserves the right to edit, alter, omit or refuse any advertising submitted for publication.
I have read and accept the above BillBoard Ad Terms and Conditions.
Now complete the reCaptcha word puzzle below (to show you are not a web robot trying to use our form to spam the world) and double check to make sure all fields and drop-downs have an answer. Then, click on agree*.
*Click on "I Agree" button only after you have completed all the information needed for your BillBoard Ad and you have read and agree to all the terms and conditions above. Clicking on "I Disagree" button will reset this form.
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