The Marketers Gazette Advertising Order Form   Please complete the reservation form below. Payment information and instructions for sending your ad will follow.   First Name* Last Name* Email Address* Company Name* Title* Phone Number* Mobile Fax Address* Address 2 Address 3 City* State* Zip Code* Website Please select the ad(s) you wish to reserve. Business Card Business Card - TOP Placement 1/2 Business Card 1/2 Business Card - TOP PLACEMENT Article Business Directory/Opportunity Listing Frequency - One Issue Frequency - Two Issues Frequency - Three Issues Frequency - Four Issues Will you need design assistance? Yes No How did you find out about us? (optional) What does your company do? (optional) What are three top marketing issues challenging you right now? (optional) What other types of media do you advertise in? (optional) Lifestyle publications (ie. Austin Woman Magazine) The Business Journal Newspaper Other print media Television Radio Internet Other Who is your ideal client? (optional) Comments: (optional) I have read and agree to the terms as outlined above   * Indicates field is required.