Weblogic Joomla Template Demo

Thank you for choosing 400 Edition! You must complete this form to reserve ad space. We will contact you regarding artwork. If your request is received after our ad deadline, we will reserve space for you in our next issue.

Issue *	All of 2008June/July 2008July/August 2008August/September 2008September/October 2008October/November 2008November/December 2008December/January 2009January/February 2009February/March 2009March/April 2009April/May2009May/June 2009
Company Name *
Contact Name *
Contact E-mail *
Ad Size *	1/8-page1/4-page1/3-page1/2-page2/3-pagefull pagecoverpage 2page 3page 4inside back coverback covercenterfold
Color or B/W *	colorb&w
Type of Ad *	TraditionalInfomercialCombo
Orientation *	verticalhorizontalstandard
Art *	Designer's choiceCustomer layout providedSending Ready
Color Scheme
Sending Files	yes
Upload File		Limited to 2MB. Please ZIP multiple files.
Type of Files
Street Address
City
State	Zip Code
Phone
Website
Billing same as address above? *	yes
Billing Street Address
Billing City
Billing State	Billing Zip Code
Primary Phone
Fax Number
Secondary Phone
Method of Payment *	checkcashcredit card
Comments

* indicates required fields