Your account information

Company name

Phone Number

Contact

E-mail address

Billing address

Street

City

Zip

State

Ad specifications

Please specify if you are on contract for multiple insertions:

1 time 2 times 4 times 6 times 12 times

If you would like to receive a discount for multiple insertions, please fill out a contract (PDF).

What type ad are you paying for?

web button ONLY 1/32 1/16 1/12 1/8-horizontal 1/8-vertical special 1/9 "box" 1/4 1/4-horizontal 1/4-vertical 1/2-horizontal 1/2-vertical 3/4-horizontal 3/4-vertical full page

Would you like your ad to appear in a certain section of the paper?

Featured Sections:

• Arts: Mar, Jun, Sept, Dec
• Camps: Jan - May
• Gift Guides: Feb, Nov
• Health & Fitness: Jan, Apr, July, Oct
• Home & Garden: Feb, Mar, Apr, May, Aug and Nov

If ordering a print ad, would you also like a discounted web ad?

Yes! No, thanks.

If you would like more info about web advertising and associated rates, click here.

FOR WEB BUTTON CUSTOMERS ONLY:

To what would you like your web button to be linked?

To a web version of my current print ad.

To my website.
(If choosing this option, please type your website's URL in the comment field below.)

N/A

Where would you like your ad to appear within takoma.com and/or silverspringvoice.com?

Select your spot. Both Voice homepages. Takoma Voice homepage. Silver Spring Voice homepage. Calendar page. Classified ad page. Hometown Resources. See my comment below for preference.

Choose both homepages for the best value and greatest visibility for your business!

Are you submitting a camera ready ad?

Camera ready

Not camera ready

How many months of print advertising are you paying for at this time?

Is this ad for a 502 c3 nonprofit?

non-profit

Payment

Card type

Card Number

Name on card

Card expiration date

Comments: