(press Ctrl-P to print this form)

Advertising Order Form:

 

Date:

Organisation Name:

Your Name:

Position in Organisation:

Your e-mail address:
(You should make sure this is the address you will be sending the banner from, for your security we will not accept a banner sent from a different address.)

Contact telephone number:

Fax number:

Address:

 
 

(including postcode)

Web site address for advert to point to:

   

Type of advertising:

Enter a number in the boxes below indicating how many impressions you wish to purchase for each. For example, if you want to purchase 2000 impressions you would write '2000' in the box.

Random Run of Site banner:
£25+VAT per 1000 impressions

impressions

Home page banner:
£55+VAT per 1000 impressions

impressions

Category & Keyword Linked banner:
£45+VAT per 1000 impressions

impressions

Category name:

Keyword 1:

Keyword 2:

Keyword 3:

Keyword 4:

  If you wish to take more than 1000 impressions of a category & keyword linked banner, you can use different keywords & categories per 1000 if you wish. Simply continue on another sheet or overleaf.

Please create a budget-banner for us:
At a cost of £15+VAT. Make sure you enclose a copy of your logo and details of what you would like the banner to say on a seperate sheet. Tick if applicable

Sub-total:

(excluding VAT)

Total:

(including VAT)
Now post this form along with a cheque to: LincolnshireNOW, PO BOX 589, Lincoln, LN2 4YY
Make cheques payable to: LincolnshireNOW