Member Ad Sales Submissions Form Member's Name * Sold Ad to: * Ad Size Sold * FULL PAGE $750 HALF PAGE $400 QUARTER PAGE $250 EIGHTH PAGE $150 FIELD SUPPORTER $100 BACK COVER $1,450 INSIDE FRONT COVER $1,250 INSIDE BACK COVER $1,250 What is the status of the clients artwork? * Print Ready and doesn't need design work They want Janel to design their ad @ $25 an hour They are going to handle the design work themselves Has file been sent to Janel? * If No, please include instructions in the notes section below on how best to proceed. Yes No Total Sale Amount * $ Payment Status They are all Paid Up Send them a Bill I Let you know ASAP Payment Method? Website Check Cash Credit Card Advertiser Contact Information * First Name Last Name Advertiser Phone * (###) ### #### Advertiser Email * Advertiser Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Notes: Did they sign they form? Yes No Thank you!