Authorlink Advertising Order Form

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Advertising Order Form

Please fill out this form as completely as possible. If you need assistance with this form or have any questions, please e-mail admin@authorlink.com. You may fax this form or submit it as an e-mail attachment. (Complete online submission is coming soon). If you submit this form via e-mail and are paying by credit card, please call in your credit card number (it will not be submitted with the form). Please do not send credit card numbers via e-mail. Thank you!

Voice:	(972) 402-0101
Fax:	1-866-381-1587

Your Name:
Your Company Name:
Your E-mail Address:
Street Address:
City:
State/Province:
Postal/ZIP Code:
Country:
Telephone Number:
Fax Number:
Website URL:
Publish E-mail Address?	Yes: No:
Advertisement Size:	Select From Advertisement Rate Sheet. If Special Section Sponsorship, Contact Authorlink.
Desired Section:	Select Desired Index Section From Advertisement Rate Sheet.
Desired Starting Date:
Duration (3,6, or 12 months only)	Note: Advertisement Will Be Inserted On Nearest Publication Date.
How Will You Be Sending Your Advertising Copy?
Advertisement Rate:	Select From Advertisement Rate Sheet.
Advertisement Rate Subtotal:	Multiply Advertisement Rate Times Advertisement Duration (Months).
Advertisement Setup Fee:	Select From Advertisement Rate Sheet.
Advertisement Setup/Rate Subtotal:	Add Advertisement Rate Subtotal And Advertisement Setup Fee.
Texas State Sales Tax:	Multiply Advertisement Setup/Rate Subtotal By 0.0825 (8.25%) Only If You Are Located In Texas.
Advertisement Total:	Add Advertisement Setup/Rate Subtotal And Texas State Sales Tax (If Applicable).
Payment Method:	Payment Must Be Received In Advance Unless Other Arrangement Have Been Made. Do Not Send Cash! If Paying By Credit Card, Call Or Fax In Your Credit Card Number.
Credit Card Number:	For Faxing Only! Do Not E-mail Credit Card Number! Number Should NOT Be Submitted With Form. Call or fax instead.
Credit Card Type:
Credit Card Expiration Date:	(Month/Year)
Name On Credit Card:	Please Type In The Name Exactly As It Appears On The Credit Card.
Print two copies of this form, one for your records and one to mail or e-mail attach to your order. Thank You!