SMDC 1/8 Page AD Insertion Order Form
Submission of this information and a $395.00 fee insures placement of client-approved 1/8 page ad in the Fall/Winter 2007/08 Who’s Who in Huntsville Technology Magazine. Simply fill out this online form, and mail your check or money order to:

Who’s Who in Huntsville Technology Magazine
P.O. Box 19005
Huntsville, AL 35804
* = required field

1. What is the full name of your business? *

2. What name do you do business under? *

3. Main business phone number(s) *

4. Toll free number(s)

5. Business fax number

6. Business E-mail address *

7. Business web site address (URL)

8. Business street address *

9. Business City, State & Zip Code *

Thank you for taking your valuable time to fill out this form. If you have questions regarding your ad, please contact Dave Knowles at 704-8888 (Ext.1)

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