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ORDERED BY (SEND BILL TO):  
First Name *  
Last Name *  
Organization  
Address   
City Zip/Postal Code    
State Providence    
Country  
Telephone *  
 
Email *    
SEND MATERIALS TO:  
First Name  
Last Name  
Organization  
Address  
City Zip/Postal Code    
State Province    
Country  
Telephone  
Email  
DUE DATE:  
Date Ad Is Due    (mm/dd/yyyy)
(Please allow at least 3 business days from Order to Delivery)		  
AD SPECIFICATIONS:

To avoid confusion and delays, we strongly recommend that you fax or e-mail a publication spec sheet to HZDG with your order.

NOTE: Color ads will be supplied as 4-color CMYK Negative, right reading, emulsion down film at 133-line screen with a matchprint, unless otherwise specified. Black and white ads will be supplied as a Velox at 85-line screen printed with crop marks, unless otherwise specified.

  
Ad Name  
Ad Number  
Trim Size Full Page Ad  
Live Area Bleed
No Bleed		  
Ad Size Partial Page Ad  
Other Use (Specify)    
Line Screen/ Resolution    
Please Print Ad "As Is"  
Please Make the Following Changes:  
 
  Fax an Approval Proof To:  
Contact Name  
Fax Number  
CHECK OUT:  
Materials  
Color
(cmyk film + matchprint)		 $155 $    
Black & White
(Film or Velox)		 $35 $    
CD
(Collected Quark File/Hi-Res PDF)		 $50 $    
EMAIL
(Collected Quark File/Hi-Res PDF)		 $35 $    
Labor  
"As Is" No Additional Charge  
Minor Adjustments $175 $    
Minor typesetting; adjust size of ad within 1 column inch.
  
Major Adjustments $225 $    
Adjust size of ad more than 1 column inch; reformat ad (create horizontal, square, or narrow column version)
 
Shipping  
  HZDG Ships FEDEX $25 $    
Use My FED EX Number:  
TOTAL $    
PAYMENT  
Bill me        Charge it        Mastercard        Visa  
Account Number  
Exp. Date  
Name on card