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Display Ad Order

Use this online form to submit information about your display ad in the regular part of the paper (not for a special section ad). 
 
Before completing this form, though, you may want to consider an advertising Agreement if you do not already have one.
 
Use the "tab" key to go from field to field.  All fields are required except the Questions/Comments area and the signup for KT Enews.
Display Ad Information:   Date of Order: 
 Issue(s) in which this ad is to run.  Check all that apply.
 1st Qtr, Winter (Jan-Mar)
 2nd Qtr, Spring (Apr-Jun)
 3rd Qtr, Summer (Jul-Sep)
 4th Qtr, Fall (Oct-Dec)
 
 Size: Width: (in columns)  x  Height: (in inches)
            Note: A full page is 5 columns x 12 inches.
      Is this for a Junior Page (3 col x 9" exclusive)?
      Yes   No
 Questions,   
 Comments and
 Special Instructions :

Billing Information:
Your Name:
Company / Organization:
Address:
City:
State:   Zip Code:
Email:
Please re-enter your Email:
Phone:
Agreement Level:
Indicate here that you want to establish a new agreement level (to begin with this ad). Or indicate that this ad is to be run under your existing Agreement. For more information see Agreements (opens a new window).
Existing Agreement  (Use the level I've already established.)
Don't know - please call me to explain these. 
4x Agreement  (20% off each ad)
3x Agreement  (10% off each ad)
2x Agreement  (5% off each ad)
No Agreement 
Billing Method Preference:  Email my invoice as a pdf attachment.
 Snail mail a printed copy of my invoice.
Would you like to receive Kansas Traveler's emailed newsletter, to be notified of approaching deadlines, new offerings, requests for story information and so forth?  See the current KT Enews (opens a new window).  (You can get off this list any time you want.)
Sign up for KT Enews (opens a new window.)
Or  Please add me using the information on this ad order form.

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