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1. Organization/Business Name (Required.)

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2. Tell us more about your organization/business (Required.)

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3. Are you a non-profit organization? (Non-profits receive a 10% discount) (Required.)

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4. Contact Person (Required.)

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5. Phone Number (Required.)

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7. Website (Required.)

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8. Select Ad Length (Required.)

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9. Select weekly or monthly ad (Required.)

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10. Desired Start Date (Required.)

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11. Desired End Date (Required.)

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12. Will you provide the content or would you like our team to create it? (Required.)

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13. If you'd like us to create your ad, please share any details or preferences you'd like us to include

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14. If our team is creating your ad, do we have permission to use content from your website?

If you already have an ad you'd like us to use, we'll reach out to coordinate the file transfer along with your invoice.

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15. Select the type of ad (Required.)

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16. Do you understand the pricing and agree to The Exploration Place’s advertising guidelines? (Required.)

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17. Please review all information provided before submission. Is everything correct? (Required.)

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18. How did you hear about our digital advertising program? (Required.)

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19. Provide any additional information not covered above (optional)

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