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A Media-kit Request Form

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Please fill in the requested information to receive a media-kit.

Our advertising sales rep will contact you in 24 to 48 hours.

Business Name:


Business Type:


Ad Budget ($):


Contact Person's Name:



Cell Phone #

Office Phone #

E-mail Address:


Web Address:








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Sample of your Ad Creative for our Review

Upload an Ad Creative:

Ad Creative Size: 300 pixels X 250 pixels, .jpg file format

Use 80% space for the visual. Use 20% space for letters.

# of Click Request:


Type Above Code : Type Capital Letters

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We will contact you in 24 to 48 hours., Inc. Advertising Agreement., Inc.
163 South Street #52
Danbury, CT 06810 USA




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