Online AD Placement Order FormAdvertisement Information:RequestingDBEDVBEMBEOBESBESDVOBUDBEWBEOtherAd Title / DescriptionBondsPlan & SpecsOwnerBid NoBid Due Date/TimeDateTimeEstimated CostLicense Type(s)Project DurationProject LocationContact Person Contact EmailCompany NameCompany AddressAddress Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeCompany Phone NumberCompany Fax Number______________________________________________Billing Information:Company Name *Purchase Order NumberName (Person placing AD) *FirstLastEmail *Phone *FaxBilling Address *Address Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeAD Start Date:To run number of week(s)Ads run for 5 consecutive daysAd Format - Price (Size)Column - $50 ( 8 lines minimum, $6.25 each additional lines)1/12 page - $110 (2.25 x 2.25) 1/9 page - $145 (2.25 x 3) 1/6 page - $210 (2.25 x 4)1/3 page - $400 (4.75 x 4) 1/2 page - $500 (7.25 x 4)1/4 page - $285 (7.25 x 2.25)2/3 page - $600 (4.75 x 9)3/4 page - $675 (7.25 x 6.75)Full page - $750 (7.25 x 9)Additional OptionsPlace your secondary ad in 'California Daily Bid Advisor' to meet your 'Trade & Focus' requirements - $25Add your 'Bidding Invitation' and 'Log' - $25Method of Payment *Credit CardInvoiceCredit Card *Master CardVisaCredit Card Holder's Name *Credit Card Number *Security Code *Exp. Date (MM/YY) *Comment or MessageEmailSubmit AD