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Remnant Listing Submission Form

  
 
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Publication Name:
Contact Name:
Phone:
Email Address:
Publication\'s primary advertising audience? Business-to-business
Business-to-consumer
Business-to-government
Publication\'s format? Magazine
Broadsheet Newspaper
Tabloid
Business Directory
Newsletter
Direct Mail Piece
Other (Please describe below)
Other Publication Format (Optional):
ACTUAL circulation (NOT readership):
Publication\'s frequency? Daily
Weekly
Bi-Weekly
Monthly
Bi-Monthly
Quarterly
Annual
Primary Geographic Distribution: Local
State
Regional
National
International
Geographic Details(If Local, list city and state of distribution. If State, list state of distribution. If Regional, list states or region of distribution):
Publication Description:
Color options for this listing: Black & White
Two color
Four Color
Any
Remnant size & specs (i.e. 1/2 page (6 1/2 w x 4 1/2 d):
Net remnant price for opportunity listed above:
Issue Description (i.e. January / Febuary if bi-monthly):
Page position (i.e. Right page, 1st half of publication):
Advertising material due date (mm/dd/yy):
Offer expire date (mm/dd/yy) [Note: This service is for true remnant. Open listings or those with excessively long expire dates (3 months or more) are discouraged and may be rejected or deleted at PrintAdvertising.com\'s discretion].
Please confirm that you are authorized to offer this remnant opportunity. Yes

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