ITINERARIES MIDWEST MAGAZINE Directory Listing Form
2009-2010 MEDIA KIT

for 35 word Listing
One 35-word Directory Listing is free with your display ad.

Instructions: Select the type of listing you want published in ITINERARIES MIDWEST. Please fill out the following listing form completely, exactly as you want it to read in the magazine. Complete one form per listing you are placing. Then print out this page and fax it to 763-201-7945. No proofs will be sent.
Co-op Upgrades: Co-op Ad participants can upgrade from a basic listing to a 10 or a 35 word listing.

1. Today's Date (xx/yy/zz): 2. Your Name:

3. This listing is


4. Tell us your listing type:

5. Indicate price per issue:


6. Tell us which issue(s) your listing will appear in:

7. Tell us your REGION: 8. Select one SERVICE CATEGORY:

LISTING INFORMATION

Organization Name:

Address:

City, State, Zip:

Phone (w/AC): Fax (w/AC): Toll Free (w/AC):

Email:

Website:

Descriptive copy for your 35 Directory Listing
(let readers know you are "group-friendly"):


Signature ____________________________________________________

  Date ___________________
End of Listing Form. Please print out, sign and date completed form, and fax to 763-201-7945.

Itineraries, Inc.
56 South 33rd Avenue #234 · St. Cloud, MN 56301
info@itinerariesinc.com · www.itinerariesmidwest.com 1-877-832-7267