Date: BUSINESS NAME

PRESET AD REQUEST FORM

Date: REP:

BRANCH:

BUSINESS NAME:

1. Bulletin #: Church Name:

2. Bulletin #: Church Name:

3. Bulletin #: Church Name:

Electronic files sent:

PLACE AD COPY BELOW

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Grid Size: Units: Dimensions:

Grid Size: Units: Dimensions:

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Cartoon

City

Conservative

Ethnic Caucasian Hispanic Asian African American MultiCultural

Factual

Family Children Teens Couple Parents/Children Seniors w/Pets

Fear Tatic

Funny

Hi-Tech

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Liberal

Professional

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Scenic Beach Mountains Park Clouds

Sports Baseball Soccer Football Basketball Hockey Golf Swimming

Trendy

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Follow Layout Exactly

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