Print Ad Request Form | Marketing and Communications

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	P r i n t A d R e q u e s t F o r m

:: Client Info

Client Contact Name:

Client E-mail:

Client Phone:

:: Publication Info

Publication:

Other Publication:

Publication Contact Name:

Publication E-mail:

Publication Phone:

:: Ad Info

Run Date:
/ /

Artwork Due Date:
/ /

Subject of Ad: (EX: open house, fall classes, One-Year MBA program, black history month)

Size of Ad: (Please give size in inches. Actual size of "column-inches" varies by publication.)
" wide by " high

Cost of Ad:
$

Color of Ad:

black & white

2-color

4-color

How should artwork be submitted to the publication?
e-mail mail

In what format should artwork be submitted to the publication?
.pdf .gif

Is this ad an update of a previous ad?
Yes No

Previous Ad Run Date
/ / Previous Ad Publication:

Other Publication:

Is this ad part of a larger marketing campaign?
Yes No

Do you need aditional elements to the campaign?
Yes No

What other elements do you need?
brochure postcard
media placement

Notes: (If you want a certain person or photo featured in the ad, please specify.)

Please print a copy of the completed form for your records BEFORE you submit the form.
The form will automatically clear once it is submitted.


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