Ad Design Request Form Step 1 of 2 50% Contact InformationFor communication purposes onlyContact Name* First Last Contact Phone*Contact Email* Order InformationAdvertiser Company Name* Sales Representative Name First Last Advertising Medium* Print (Magazines/Programs/Brochures) Digital (Websites/Email Newsletters) Publication Name (Other) Publication Issue We encourage you to click the "Save a Draft" link below before continuing to the questionnaire portion of the form. You will be emailed a unique link to this draft submission, which will allow you to return and make changes to the content of this form before you submit it. Messaging and Tone of AdWhat copy/text would you like included in your ad?Please indicate any main headers, subtitles, etc.Should your ad include a call-to-action? Yes Not needed What call-to-action would you like in your ad? Information to Include in AdIf you want any of the following information included in your ad, please provide it in the appropriate field below. (Leaving the field blank implies you do NOT want to include this in your ad.)Business Name Website AddressPhone Number Business Hours Ad Headline & CopyCoupon/Special OfferAdditional Information or RestrictionsLogo & Imagery for AdLogo Drop files here or Select files Max. file size: 256 MB. Please provide a high-resolution file, preferably in AI, EPS, or SVG format. If you send a JPG, PNG, or TIFF, please send the largest size image available.Photos/Images for Ad Drop files here or Select files Max. file size: 256 MB. Examples/Inspiration Drop files here or Select files Max. file size: 256 MB. If you have any examples of past ads (yours or from another company) that have a specific look/fell/branding you want us to use, please attach a photo or screenshot of the ad.Is there anything else you would like to share with the designer?Usage Rights + Permission* By checking this box, you acknowledge that your organization has the rights to share these assets, and authorize Greenspring Media and its affiliates to use these materials at no additional fee. Your organization assumes all responsibility for any claims to the contrary.To submit your entry, click the "Submit" button below. If you want to save your entry as a draft and return to it later, click the "Save a Draft" button to receive a unique link to return to your form. If you have entered an email address above, a copy of the link will also be sent to your email. You can use this link to return to your saved draft for up to 30 days. Once you submit your form, you will no longer be able to make changes via the form.CAPTCHA
