Solaris Rehab Ad Request

Solaris Rehab Ad Request Form
Attach any vendor specs or additional materials below. All proofs should be returned as soon as possible. If we will be delivering a printed piece to your facility, additional time will be needed for printing & shipping. Complete the advertising request form as thoroughly as possible and attach any current ads if applicable.
Your Name*

First NameLast Name
Your Email*
example@example.com
Vendor Company Name (optional)
Vendor Contact Name (optional)
Vendor Phone Number (optional)

Area CodePhone Number
Exact Dimensions of Ad. Please don't indicate "full page" or "quarter page", include numeric values such as 8.375 and 11.375. Enter the Width and Height of the ad (in inches) separately in the boxes below:
Width in inches*
Height in inches*
Does the ad bleed*

YesNoNot Sure
Format Required (pdf, jpg, eps, png, etc.)*
Black and White or Color*

Black and WhiteColor
Due Date (for ads, signs, etc. - larger projects may need more time than the minimum available amount of time)*

MonthDayYear
Date
Ar you having us handle the printing?*
If we are printing for you, please enter the quantity desired.
Comments/instructions.
Attach any Relevant Files

Browse Files

Cancelof
BEFORE YOU HIT SUBMIT - To prevent multiple ad requests for the same job, please try to gather all info/attachments together in this one ad request. Should you need to send materials later for a job you already requested, just email your attachments to info@vineyard-graphics.com
Should be Empty:

Solaris Rehab Ad Request Form