REQUEST FOR TRANSIT ADVERTISING

REQUEST FOR TRANSIT ADVERTISING
Date:
E-mail
Full Name

First NameLast Name
Advertiser/Group
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number

Area CodePhone Number
Fax Number
Advertising Description
Start Date
Number of Weeks
WKU Index Number To Be Billed
Payment Method - any advertiser without a WKU index number must pay in advance of advertising
Who will be producing the ads?
Will you pick up your ads after they are removed from the busses?
Should be Empty: