Advertisement Request Form Advertising Order Advertiser Contact Information Business Name * Contact First Name * Contact Last Name * Address * Address Address Address City City State/Province AlabamaAlaskaArkansasArizonaCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming State/Province Address Email * Phone * Website/URL * Digital Advertising Order Quantity: Eblast Ads * None – $0One – $325Two – $550Three – $825Four – $1,100Five – $1,375Six – $1,650Seven – $1,925Eight – $2,200Nine – $2,475Ten – $2,750 Number of eblast ads running in a 12-month period (max run one eblast per month). COST: $325 each (1 ad) or $275 each (2 or more ads). E-Newsletter Banner Ad Quantity: E-newsletter Ads * None – $0One – $95Two – $190Three – $285Four – $320Five – $400Six – $480 Number of e-newsletter ads running in a 12-month period (max run one e-newsletter every other month). COST: $95 each for 1-3 monthly placements; $80 each for 4 or more in a 12-month period. (Order DUE by the 10th of the month and published the 15th of the month) Brief description * Please tell us a little about your company and what you’d like to advertise. Terms of Agreement * I have read and agree to the terms published in the current AFHE Media Kit, and I understand that advertising with AFHE is subject to review and approval by the AFHE Ad Manager. Text Submit If you are human, leave this field blank.
Arizona Families for Home EducationArizona Families for Home Education