The Walchli Tauber Group, Inc.

DISPLAY ADVERTISING INSERTION ORDER FORM

Thank you for using our on-line insertion order form.  After submitting this form, a sales representative will call you to confirm the cost of your ad.

 

Billing Information:

Advertiser
First Name
Last Name
Phone
FAX 
Email Address
Street Address
City
State  
Postal Code
Country 

Advertisement Information:
Publication
Issue  
Heading of Ad
Size of First Ad: Tabloid Page 
Full Page
Island 1/2 Page 
3/4 Page 
1/2 Page 		  1/3 Page
1/4 Page 
1/6 Page
1/8 Page
Color of  First Ad: Black & White  
Standard Color		 Matched Color
3/4 Color
Size of Second Ad: Tabloid Page 
Full Page 
Island 1/2 Page 
3/4 Page 
1/2 Page 		  1/3 Page
 1/4 Page  
1/6 Page
1/8 Page  
Color of  Second Ad: Black & White
Standard Color		 Matched Color
  3/4 Color
Size of Third Ad: Tabloid Page 
Full Page 
Island 1/2 Page 
3/4 Page 
1/2 Page 		 1/3 Page 
1/4 Page 
1/6 Page 
 1/8 Page
Color of Third Ad: Black & White
Standard Color		 Matched Color
3/4 Color
Size of Fourth Ad: Tabloid Page 
Full Page 
Island 1/2 Page 
3/4 Page 
1/2 Page		 1/3 Page 
1/4 Page
1/6 Page 
1/8 Page 
Color of Fourth Ad: Black & White  
Standard Color 		 Matched Color
 3/4 Color
Size of Fifth Ad: Tabloid Page  
Full Page 
Island 1/2 Page 
3/4 Page
1/2 Page 		 1/3 Page
1/4 Page
1/6 Page  
1/8 Page
Color of Fifth Ad: Black & White 
Standard Color 		 Matched Color  
  3/4 Color
Special Placement Instructions (i.e. Back to Back, Spread, Consecutive Right Hand Pages)