Circulation Sheet for Elliot Institute ‘s Hope and Healing
Insertion Order for Hope and Healing
Dear Advertising Editor:
To ensure correct placement of Hope and Healing in your newspaper, please fill out the following information and return this sheet to the organization listed below.
Name of School:________________________________________________________
Name of Newspaper:____________________________________________________
Contact Name:_____________________________ Phone: _____________________
Fax:________________________ Email: ___________________________
Date inserts will be placed in your newspaper: ________________________________
Deadline date for inserts to be delivered: ____________________________________
Circulation for your newspaper: ___________________________
Insertion Cost Per Thousand: ____________________________
Total Cost: __________________________________
Mailing Address: _______________________________________
_______________________________________
Shipping Address: ____________________________________
(for delivery of inserts) ____________________________________
Shipping Instructions:
Do you have a loading dock, so that the inserts can be delivered on a pallet? YES NO (If not delivered on pallet, will be delivered in boxes.)
Should the inserts be delivered UNFOLDED (11.375″ x 13.5″) or FOLDED (Folded in half 11.375″ x 6.75″) (circle one) UNFOLDED FOLDED
Before signing, please verify that the above information is complete and accurate.
Signature of Approval __________________________________________________________
Please mail or fax this sheet to:
(Person or organization arranging for the insert should place their name and address and phone number in the place noted above and forward a signed copy of the order to:
