HCN Extended Reach Insertion Order

Today's Date
Date Format: MM slash DD slash YYYY
Sales Rep*
Advertiser
Account No.
Price*
Payment*
- Bill
- Charge CC
- Prepay
Send Date*
Date Format: MM slash DD slash YYYY
Print Ad IO
Print Ad Approved?*
If not approved yet, email Rick when approved
- Yes
- No
Offer for text
If different from print ad
Facebook Page (URL)
Must be a business page, not a personal page
Additional information