ADVERTISER INFORMATION TECHNICAL CONTACT

First Name: MI: Last Name:

Company Name:

Address: City: State:

Zip: Country: Phone #: Ext.

Direct #: Fax#: Email:

Website: Name to Appear in Advertiser's Index:

Best time to contact: Contact Method: home number work number email snail mail

AGENCY INFORMATION TECHNICAL CONTACT

First Name: MI: Last Name:

Company Name:

Address: City: State:

Zip: Country: Phone #: Ext.

Direct #: Fax#: Email:

Website: Name to Appear in Advertiser's Index:

Best time to contact: Contact Method: home number work number email snail mail

PRODUCTION INFORMATION refer to Professional Farrier™ Rate Card

Ad Size(s): Full Page- bleed Full Page- no bleed 2/3 Page 1/2 Page 1/3 Page 1/4 Page 1/6 Page Classified Ad Multiple Insertions Color Process: Four Color Black Ink Two Color Number of Insertions: 1x 3x 6x Directory Convention
Note: 3x & 6x advertisers receive regular rate pricing for specialty issues

Artwork: New Ad Repeat (Issue): Filename:

Special Instructions:

Attach File: Attach File:

Attach File: Attach File:

I accept the Publication Mission / Terms of Professional Farrier™, an official publication of the American Farrier's Association™

BILLING INFORMATION
We will contact you personally to verify receipt of ad(s), answer any questions, and to ensure your privacy while gathering billing information.