BOOKING FORM BOOKING FORM STOP! No need to fill out this form if you are booking a PACKAGE. Please visit our POPULAR PACKAGES to select your preferred option. Use this form to book STANDALONE advertising for ONE-OFF or SHORT TERM promotional campaigns. CONTACT DETAILS (optional) BUSINESS NAME (optional) CONTACT NAME (optional) BUSINESS EMAIL (optional) BUSINESS PHONE (optional) POSTAL ADDRESS (optional) HOW DID YOU HEAR ABOUT US? (optional) PUBLICATIONS (optional) ALL EMU+LEONAY GLENMORE JORDAN SPRINGS MULGOA VALLEY ORAN PARK Please tick one/all that apply MONTH/S TO APPEAR (optional) FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DEC PRINT TYPE (optional) Colour Mono 30% Colour loading applies. (Loading on mono rate. From September 2019) CHOOSE YOUR AD SIZE General News Section OR Business Directory A. GENERAL NEWS SECTION GENERAL NEWS SECTION - PLACEMENT (optional) FULL PAGE 1/2 PAGE 1/3 PAGE 1/4 PAGE BANNER 1/4 PAGE BLOCK 1/8 PAGE 1/12 PAGE GENERAL NEWS SECTION - DURATION (optional) 1 MONTH 2 MONTHS 3 MONTHS 6 MONTHS 12 MONTHS PREMIUM PLACEMENT (optional) Yes No Subject to availability. Fees apply. REQUESTED PLACEMENT (optional) eg. Page 5 B. BUSINESS DIRECTORY Minimum 3 Month booking period applies to Business Directory listings. BUSINESS DIRECTORY - LISTING (optional) SINGLE DIRECTORY DOUBLE DIRECTORY CATEGORY (optional) eg. Plumber BUSINESS DIRECTORY - DURATION (optional) 3 MONTHS 6 MONTHS 12 MONTHS PREMIUM PLACEMENT (optional) Yes No Subject to availability. Fees apply. REQUESTED PLACEMENT (optional) eg. 1st Place, 2nd Place or 3rd Place ARTWORK Artwork is included in all bookings. All bookings receive one complimentary design and one set of changes. Additional changes will incur a fee of $10 per set of changes. You can also submit your own artwork to spec to leverage existing campaigns and branding you may have. Please indicate below if District Gazette will be designing your artwork (included in your booking fee) or you would like to submit your own. Upon payment confirmation you will be issued with details for submitting your brief or finished artwork. ARTWORK (optional) DESIGNED BY DISTRICT GAZETTE PROVIDING MY OWN EXISTING ARTWORK ON FILE NOTES LEAVE YOUR MESSAGE WITH FURTHER DIRECTIONS FOR US HERE... (optional) PAYMENT NOTE (optional) One of our team members will be in contact with you shortly to confirm your payment via CREDIT CARD to allow us to proceed with final payment. Your payment confirms that you understand and agree to the District Gazette's terms and conditions, rates and artwork guidelines. See media kit for details.