CLASSIFIED ADVERTISING ORDER FORM

MAIL TO:

CM/Cleanfax®
13 Century Hill Drive

Latham, NY 12110-2197

FAX TO:

(518) 783-1386

Or e-mail your classified ad to classifieds@cleanfax.com

Classified advertising is available in CM/Cleanfax® magazine and online at Cleanfax.com. Rates, per insertion, are $125.00 per column inch with a $125.00 minimum. Bold face heading (not included in minimum charge) is $25.00 extra and a photo is $75.00 extra. Add $50.00 to place your ad online at www.cleanfax.com for 30 days in addition to magazine ad. For more information call (518) 783-1281 x 3145.

PAYMENT MUST ACCOMPANY ORDER:

Payment enclosed

Charge my:

MasterCard

Visa

American Express

Card #

Exp. Date:

Total:

Zip Code

Name on Card

Verification Code

I authorize NTP Media to charge my credit card for classified advertising ordered on this form.

Signature

Date

Insert the following classified ad for the next

issue(s):

Magazine only

Online only

Both magazine & online

Bold Face Headline:

Assign blind box number

Ad Text:

Name:

Company:

Address:

Phone:

Fax:

e-mail: