Advertising Request Form

Section 1: Contact Information
Section 2: Advertisement Information
Section 3: Mailing Information

Please print clearly. Ad copy and payment must be received no later than April 26, 2010.

Section 1: Contact Information

Real Name: ________________________________________
Mailing Address: ________________________________________
________________________________________
________________________________________
Phone Number: ________________________________________
E-mail Address: ________________________________________

Privacy Statement: The information provided here is for use by Anthrocon solely to provide more efficient service to its members. No information will be sold or traded to any third party for commercial purposes.

Section 2: Advertisement Information

Select the type of advertising desired:

Type Useable Space Price
At-Con Guide Full Page 7½” W x 10” H $100.00
At-Con Guide Full Page (Bleed) 8½” W x 11” H $200.00
At-Con Guide Cover (Full color)
Specify inside front / inside back / outside back
(Limited Availability — Reserve ASAP!)
8½” W x 11” H $300.00
At-Con Guide 3/4 Page 7½” W x 7¼” H $80.00
At-Con Guide 1/2 Page 7½” W x 4¾” H $60.00
At-Con Guide 1/4 Page (horizontal) 7½” W x 2¼” H $40.00
At-Con Guide 1/4 Page (vertical) 3½” W x 4¾” H $40.00
At-Con Guide 1/8 Page 3½” W x 2¼” H $20.00
Convention Bag Inserts $200.00
TOTAL AMOUNT ENCLOSED: $___________

Section 3: Mailing Information

Make check/money order payable to Anthrocon, Inc. Mail this form and your payment to:

Anthrocon – Advertising Department
c/o Karl Jorgensen
P. O. Box 4211
Leesburg, VA 20177

This address is for advertising-related correspondence only. If you have any questions, please contact us at advertising-2010 (AT) anthrocon.org, or visit our website at www.anthrocon.org

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