Georgia Music News Ad Authorization Form

Georgia Music News Ad Authorization Form

Georgia Music Educators Association
Questions about this form? Please contact Cindy Reed.
CONTACT INFORMATION
Company/School*
Contact Name*

First NameLast Name
Email*
Phone Number*

Area CodePhone Number
AD INFORMATION
Please click here to view the Policy/Production Notes.

A 10% discount will be automatically calculated in the total on ads scheduled for all three consecutive magazines in an academic year.
In which issue(s) would you like to advertise?*

Fall Issue (Due September 1st)Winter Issue (Due November 1st)Spring Issue (April 1st)
Fall Issue Ad Type:*

Cover Page $525.00Full Page $400.00Two-Thirds Page $350.00One-Half Page $300.00One-Third Page $250.00One-Quarter Page $225.00
Winter Issue Ad Type:*

Cover Page $525.00Full Page $400.00Two-Thirds Page $350.00One-Half Page $300.00One-Third Page $250.00One-Quarter Page $225.00
Spring Issue Ad Type:*

Cover Page $525.00Full Page $400.00Two-Thirds Page $350.00One-Half Page $300.00One-Third Page $250.00One-Quarter Page $225.00
Summer Issue Ad Type:*

Cover Page $525.00Full Page $400.00Two-Thirds Page $350.00One-Half Page $300.00One-Third Page $250.00One-Quarter Page $225.00
About the advertisement:*

Please run the same ad in all issues selectedWe will supply a new ad with each insertion
Agreement of Policy/Production Notes*

I have read, understood, and accept all policies set forth in Policy/Productions Notes.
PAYMENT
A 10% discount has been applied to your total. Thank you for advertising with us in all issues!
How would you like to pay?*

Credit CardCheck/Money Order

Billing Phone Number*

Area CodePhone Number
Total Amount Due: $
Please review your order and click the "Submit" button below. You will be taken to a confirmation page and will also receive an email confirmation that will include a copy of your order.
Please review your information and click the "Submit" button below. You will receive an email confirmation that will include a copy of your order. Please print the invoice and mail it with a check to the address listed on the invoice.

*Your order will be considered incomplete until payment has been received.

*GMEA does not accept purchase orders
Date

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Date
Check #
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Georgia Music News Ad Authorization Form

CONTACT INFORMATION

AD INFORMATION

PAYMENT