Advertising Request Form

Name(required)

Email(required)

Phone Number

Website

What products would you like to advertise in? Scoop Source Local Magazines

Go Activity Magazines

Health Magazines

Romance, Marriage, Parenting Magazines

Real Estate, Home, Energy Magazines

What audience reach are you targeting? Local

State

National

International

What creative services will you need for your campaign? Art Direction

Photography

Graphic Design

Copy Writing

What is your advertising campaign budget? Less that $3,000

Between $3,000 – $12,000

Between $12,000 – $36,000

Over $36,000

Estimated Campaign Launch Date

Other Details

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