Right To The Heart of Women Ezine Ad Summisssion & Payment From

RIGHT TO THE HEART OF WOMEN EZINE

Ad Submission Form

Your Name

Your Organization

Town of Org.: State of Org.:

Your Street Address

Your City, State, Zip

Your Telephone

Your Fax

Your E-Mail

With Photo?

NOTE: If the answer is 'yes', you will have to pay the higher jpeg rate below.

Please answer 'Yes' or 'No'

Ad Copy: (Up to 40 words for Regular Add & up to 50 words for Book or Speaker Ad with Photo (jpeg.))

Your Comments or Questions:

NOTE: We will not charge your credit card, until the ad copy has been approved

Payment:

Regular Classified Ad (up to 40 words, no jpeg (photo.))
$30 for one time
$100 for 4 issues
$300 for 13 issues
$400 for 26 issues

Book or Speaker Classified Ad (up to 50 words, (with jpeg photo.)
$50 for one time
$150 for 4 issues
$400 for 13 issues
$500 for 26 issues

NOTE: Please submit jpeg as an email attachment to bvoshage@aol.com. Only JPEG files are approved for use. Write 'RTTHW AD JPEG' in subject line of your email to us.

Check or Money Order

Make check payable to "Right to the Heart" and mail check to:
Right to the Heart at:
PO Box 6421
Longmont, CO 80501
or FAX to: (303) 678-0260

OR...

Credit Card Number

Expiration Date

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