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This form allows us to better serve our clients with on-line ad submittal.

Please provide the following contact information:

Name
Title
Organization
Work Phone
FAX
E-mail
Name of contact person if you are not available.
Contact person's phone number.
 
Type of Ad you are requesting. Please choose one

Display Ad with Logo.

In-column Line Ad just text.
  Web only ads

Have you used our on-line service before please check one of the following:

I have used Graystones on-line ad-send before.
This is my first time using Graystones on-line ad-send.

Please list the desired publications and dates we should run this ad ? 
Example: NY Times Oct 11th

Place ad text here.


Do you desire pricing before AD placement please check one of the following:

Yes please call or e-mail a price to us before placing the ad.
No pricing is not required before placing the ad.

 

 


CONTACT US: Graystone Group Advertising • Bridgeport, CT  •Melbourne, FL• (800) 544-0005 •Fax: (203) 549-0061 •Email: ads@graystoneadv.com

©2002 Graystone Group Advertising. All Rights Reserved. Revised: September 2002