If you would like to place an ad in the next issue of Network, please complete the following form.
After you submit the form, we will contact you regarding payment.

Billing Information:
Bill me	Check	Visa	MasterCard	Discover

Card # Exp. Date:

Company Name:
*Contact:
*Address:		P.O. Box
*City		*State	Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
*Zip + 4:
*Phone		Fax:
	* indicates a required field
Ad Content: Enter the text for the ad here:

Categories
Accessories	Die Handlers	Seats
Attachments	Dock Equipment	Sweepers/Scrubbers
Auctions	Employment	Tires
Batteries	Engines	Tow Tractors
Battery Chargers	Equipment Wanted	Trackmobiles
Business Opportunity	Financing	Trailers
Cab Covers	Forklifts	Trucks
Chain Hoists	Mezzanines	Miscellaneous
Conveyors	New Product
Dealers Wanted	Parts
Decking	Rack/Shelving

Sizes

	1 Column	2 Column	3 Column
1"	$30	$60	$90
2"	$60	$120	$160
3"	$90	$160	$205
4"	$120	$190	$245
5"	$145	$215
6"	$160	$245
7"	$175
8"	$190
9"	$205
10"	$215
11"	$230
Extra's
Photo's		$25 each
Logo's		$15 each
Blind Box ad		$20
Color (our choice)		$20
3 months		-10%
6 months		-15%
12 months		-20%

Ads will be set in various styles and faxed back for approval with price.
Deadlines are the 10th of the month. If the 10th falls on a weekend, deadlines will be the Friday before.

Thank you for completing the form!
Andra, Bob or Nancy will be contacting you soon.