Advertising Enquiry Form
Contact Name
*
First Name
Last Name
Company Name
*
Contact Phone Number
*
-
Area Code
Phone Number
Contact Person Email
*
example@example.com
Company Address
*
Street Address
Street Address Line 2
City
County
Post Code
Invoice Address (if different to the above)
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Accounts Email
If different to main contact email address
Ad Details
Newspaper Edition
Hailsham News
Bexhill News
Advert Size
*
Double Page Spread
Full Page
Half Page
Quarter Page
Eighth Page
Other
Duration of the Ad
1 month
2 months
3 months
4 months
5 months
6 months
7 months
8 months
9 months
10 months
11 months
12 months
Other
First Insertion Date
*
-
Day
-
Month
Year
Please select 1st of month.
Last Insertion Date
*
-
Day
-
Month
Year
Please select 1st of month.
Notes, remarks, or special instructions
Submit
Should be Empty: