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First Name*:
Last Name*:
Country*: USACanadaAfghanistanAlbaniaAlgeriaAmerican SamoaAngolaAnguillaAntarticaAntiguaArgentinaArmeniaArubaAscension IslandAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia-HerzegovinaBotswanaBrazilBritish Virgin IslandsBruneiBulgariaBarkinoa FasoBurundiCamaroonCambodiaCape Verde IslandsCayman IslandsCentral African Rep.Chad RepublicChileChinaColombiaComorosCongoCook IslandsCosta RicaCroatiaCuracaoCyprusCzech RepublicDenmarkDiego GarciaDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEqitorial GuineaEritreaEstoniaEthiopiaFaeroe IslandsFalkland IslandsFiji IslandsFinlandFrench GuianaFrench PolynesiaFranceFrench AntillesGabonGambiaGeorgiaGermanyGhanaGibralterGreeceGreenlandGrenadaGuadeloupeGuamGuantanemo BayGuatemalaGuineaGuinea BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyIvory CoastJamaicaJapanJordanKazakhstanKenyaKiribatiKorea (South)Korea (North)KuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLithuaniaLuxembourgMacaoMacedoniaMadagascarMalawiMalaysiaMaldivesMali RepublicMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldiva (CIS)MongoliaMontenegroMontserratMoroccoMozambiqueNamibiaNauruNepalNetherland AntillesNetherlandsNevisNew CalidoniaNew ZealandNicaraguaNigerNigeriaNiue IslandNorfork IslandNorwayOmanPakistanPalauPanamaPapua New GuiniaParaguayPeruPhilipinesPolandPortugalPuerto RicoQatarReunion IslandRomaniaRussiaRwandaSaipanSao TomeSaudi ArabiaSenegal RepublicSerbiaSeychelles IslandSierrra LeoneSingaporeSlovakiaSloveniaSoloman IslandSomaliaSouth AfricaSpainSri LankaSt HelenSt KittsSt LuciaSt PierreSt VincentSudanSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTanzaniaThailandTogoTongaTrinidad & TobagoTunisiaTurkeyTurks-CaicosTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUruguayU.S. Virgin IslandsVanuatuVenezuelaViet NamWallis / FutunaWest SamoaYemen RepublicZaireZambiaZimbabwe
State/Province*:
Address*:
Province other:
City*:
Zip/Postal Code*:
Business Name:
Phone Number*:
Band/Festival Name:
Email Address*:
Zoning**: - please select - Commercial Residential
**To ship magazines to you, we need to know zoning.
Type of Order*: - please select - Square Banner 125x125px Double Banner 125x 250px Triple Banner 125x 375px Billboard Banner 468x60px Editorial Promo New CD Release Custom eBlast
Period** (See note):
**Weeks for Banners & Announcements for Editorials.
Start Date*:
Animated Ad**: - please select - No 2 Frames 3 Frames 4 Frames 5 Frames 6 Frames 7 Frames 8 Frames 9 Frames 10 Frames
**Multiple frames Ad.
Ad Hyperlink**:
**URL you want your Ad to be hyperlinked to.
eBlast Design*: - please select - No, I don't need eBlast Design Yes, please design eBlast for me
Total
$
Ad Design** - please select - Yes, we need our Ad to be Designed No, We will Submit finished ad
**One-time production fee of $35 if we create your banner. Add $10 for each additional frame.(You will be billed after you approve the proof).
Please upload Ad file. If you have more than one file,please upload them as ONE zip/compressed file, no larger than 20MB.
Also please include the name of your company, band or festival in the file name.
Please DO NOT close this Window.After upload is finished, CLICK SUBMIT and this page will be redirected to payment page.Time needed for upload processing depends on file sizeand Internet Connection Speed. Please be patient.
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