Wufoo

Contact Name * First Last
Business Name or Last Name if no business name. *
Address *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Daytime Phone Number * ### - ### - ####
Evening or Cell Phone ### - ### - ####
We will not normally call you in the evening or on your cell phone. But if we have an urgent need to reach you if there is a problem with your ad, it is helpful to have this information.
Email *
Web Site
Ad Style - Please check only one *
Display Ad Logo Listing Resource Directory Listing Calendar Listing Classified Listing
Ad Frequency *
One Issue - Winter 2011-12 Only 4 Consecutive Issues, beginning with the Winter 2011-12 issue

If you choose the low cost 4-issue frequency (like most of our advertisers), you only have to pay for the first ad. We will bill you for the next ad when the next issue is in process. You may change the content of your ad each time. If you choose to cancel before the ad has run 4 times, we will bill you for the difference between the one-time rate and the 4-time rate.
Ad Size *
1/12 Page 1/8 Page 1/4 Page 1/2 Page Full Page Logo Listing 2 Line Resource Directory Listing 4 Line Resource Directory Listing Calendar Listing Classified Listing

You can enter the word count for logo listings or calendar listings when you make your online payment.
Ad Color (Display Ads Only)
Black & White Full Color

Note that there is an additional charge for color. Please see the "Ad Rates" and "Creating Your Ad" pages for more information.
If You Are Placing A Logo Listing, Choose A Category:
Business Services Classes & Learning Centers Health Services Human Development Metaphysical Sciences Psychology & Therapy Retreats & Getaways
If You Are Placing A Resource Directory Listing, please see the many categories in Pathways Magazine and choose one:

Please submit a separate order for each Resource Directory Listing
If You Are Placing a 2 or 4 Line Resource Directory Listing, please enter the lines below. Maximum of 40 characters per line (including spaces). Please email calendar listings and classifieds directly to advertising@pathwaysmagazine.com
How Will You Submit Your Ad *
I will send you a camera-ready "pdf" file of my display ad before November 10. I will send you text and graphics for your designers to create my display ad by November 3. I will send logo listing text and a copy of the graphic for the left column by November 3. Please run the same ad that ran in the last issue

Please make sure that you have read the "Creating Your Ad" page on the web-site for complete information on submitting your ad. Any questions, email us or call 240-247-0393.
How Will You Pay For Your Ad - Rates are listed on the AD RATES PAGE.
After I complete this form, it will take me back to the ad rates page and I will pay online I will mail a check to: Pathways Magazine, 9339 Fraser Ave., SIlver Spring, MD 20910 I will phone Pathways at 240-247-0393 with my credit card information I will fax Pathways at 888-262-0870 with my credit card information

Our online payment option is totally secure (we don't even get your credit card number). If you are phoning or faxing your credit card please include: name on card, billing address, card type, card number, card expiration and security code ( 3 digits on back of VISA, MC and DISCOVER - 4 digit code on front of AMEX.
Do Not Fill This Out