Contact Nancy at 317-862-6332 to advertise your business in Natural Awakenings magazine
INDIANAPOLIS/CROSSROADS OF AMERICA P.O. Box 39375, Indianapolis, IN 46239 ph. 317-862-6332 fx. 317-608-6718 Publisher@NACrossroads.com www.NACrossroads.com
Advertising Contract Please complete (PDF), print and sign this form, then fax it to 317-608-6718. DO NOT SEND CREDIT CARD INFORMATION VIA EMAIL. All requested information is required.
Calculate your price in the worksheet area. Email your print-ready ad or ad copy and graphics to design@ NACrossroads.com.
Images for scanning may be mailed to the address above. Images re-turned with SASE. In-house designed ad proofs will be sent via email. Twelve Month
From
Six Month
/
Through
Name: _________________________________ Date: ________________ Business Name: _______________________________________________ Address: _____________________________________________________ City: ___________________________ State: ________ Zip: ___________ Phone: (______) ________________ Fax: (______) __________________
Other
Email: ______________________________________________________
/
Website: _____________________________________________________
Ad Size Display Ad Price/Month Ad Design Spotlights 1/2 Page Profile Full Page Profile Natural Directory Extra Words Classified Ad Calendar Listing Natural Living Fair Coupons
Billing instructions and Payment Information: I authorize Natural Awakenings of Indianapolis to bill the card listed below for fees and terms on this contract: Amount $ ___________________________ (1st Month) Frequency: One Time
Monthly $ ______________ (2nd Month - Contract End)
Start Billing on (Today’s Date): _______________________ End Billing on: Contract expiration
One time charge
Payment via credit card only. We gladly accept: Visa MasterCard American Express Discover
Gift Guide
Card# ________________________________________ Exp: __________
Other
Security Code: ___________ (3 digit on back of card or 4 digit on front for AmEx) Name on Credit Card: __________________________________________
1st Month Total Total Per Month
$
2nd Month thru Contract End Total Per Month
Address: ____________________________________________________ City: ___________________________ State: ________ Zip: ___________
$
1 Year Payment in Full discount 2% Discount
Billing Address for Credit Card: Same as above
$
Notes/Special Instructions
Billing: Automatic credit card charging is the 10th of the month prior to publication (unless agreed otherwise). We do not send monthly bills. Charge confirmation will appear on your credit card statement. Annual statements available at no charge upon request. Declined Credit Card billings subject to $15 re-billing fee (per attempt). Statement Fee: A $15 late/statement fee applies for each monthly statement produced for past due accounts. Cancellations/Broken Agreements: To cancel early, notify us in writing by to the 1st of the month prior to publication of the next issue. Early cancellation/broken agreements subject unearned discounts & an administrative fee of 25% of your monthly rate may be imposed (minimum $25). Clients in default assume all collection costs, including, but not limited to court costs, interest of 1.5% per month & legal fees.
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Authorized Signature __________________________________________________ I certify that I am an authorized representative of the company shown and I agree to the terms and conditions specified on this contract.
11/2/11