Company_________________________________________________________________________

Address____________________________________Contact________________________________

Phone______________________________________Fax___________________________________

Email_______________________________________

Web Page Requested:
(prices are per Quarter)
� Home Page...................................$200
� Tourism.........................................$100
� Chamber of Commerce...................$100
� Economic Development..................$100
� Membership Information..................$100

Quarter Requested:
� January -- March
� April -- June
� July -- September
� October -- December

Policy:

• Banner advertising will be sold on a quarterly basis.
• Banner advertising will be on a first come, first-serve basis.
• There is a limit of two quarters per year, per page, per advertiser.
  Additional quarters will be allowed if advertising space is not sold.
• Four banner ad spots will be available for sale on each page:
  home page, chamber of commerce page, tourism page, economic development
  page, membership information page, and the news and weather page.
• Banner ads will be sold to Dickinson Area Partnership members only.
  

Payment:
� Check enclosed
� Visa      � Mastercard      � American Express

Card #_______________________________________

Expiration Date:________________________________

Signature_____________________________________

I understand and accept the terms of this agreement.___________________________________                                                                                           Signature of Applicant