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Media Guide
Demographic Info
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Media Guide
Demographic Info
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Sample Ballot
Sample Ballot
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IO Number
Today's Date
*
Date Format: MM slash DD slash YYYY
Sales Rep
*
Denise G
Heidi G
Brittany B
Madison L
Nancy P
Advertiser (Exact Name)
*
Account No.
Online Display 1 (300x250)
Online Display Production
*
HCN Build
Customer provided ad
Pick up - with changes
Pick up - no changes
Waiting on ad copy
Waiting on images
Division 1 (1200x300)
Division Production
*
HCN Build
Customer provided ad
Pick up - with changes
Pick up - no changes
Waiting on ad copy
Waiting on images
Division 2 (1200x300)
Division Production
*
HCN Build
Customer provided ad
Pick up - with changes
Pick up - no changes
Waiting on ad copy
Waiting on images
Category 1 (728x90 / 300x250)
Category Production
*
HCN Build
Customer provided ad
Pick up - with changes
Pick up - no changes
Waiting on ad copy
Waiting on images
Category 2 (728x90 / 300x250)
Category Production
*
HCN Build
Customer provided ad
Pick up - with changes
Pick up - no changes
Waiting on ad copy
Waiting on images
Category 3 (728x90 / 300x250)
Category Production
*
HCN Build
Customer provided ad
Pick up - with changes
Pick up - no changes
Waiting on ad copy
Waiting on images
Total Charge (for all insertions)
Authorized by:
Payment
*
Bill
Charge CC
Prepay
Paid with proof
Other information
Email proofs to:
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