Web Ad Request Form | Marketing and Communications

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	W e b A d R e q u e s t F o r m

:: Client Info

Client Contact Name:

Client E-mail:

Client Phone:

:: Web Site Info

Web Site Name:

Web Site URL:

Web Site Contact Name:

Web Site E-mail:

Web Site 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 pixels.)
pixels wide by pixels high

Cost of Ad:
$

In what format should artwork be prepared?
.gif or .jpg .swf (Flash)

What is the maximum ad file size allowed by the Web site? (Please give size in kilobytes.)
kb

Upon completion, what email address should the ad be submitted to for publication?

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

Previous Ad Run Date
/ /

Previous Ad Web Site:

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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