Free Stall Ads Form 09.pmd - Indiana

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FOR OFFICE USE ONLY

DATE__________________

2009 STALLION DIRECTORY Advertisement Reservation
State Form 53374 (R/9-08) Approved by State Board of Accounts, 2008

AMT PD________________ PYMT__________________

This form must be postmarked by October 15, 2008 and include payment in order to reserve your advertising space in the 2009 Stallion Directory. The price for advertising space in only for inclusion in the 2009 Stallion Directory, you are responsible for having an advertisement produced and submitted by November 1, 2008. All advertisements must be submitted in a digital format by November 1, 2008. Advertisements received after this date may not be included in the 2009 Stallion Directory. Advertisements should fit the following specifications: Inches (Width x Height) Full Page w/ Bleed* 8 3/4" x 11 1/8" Full Page 7 5/16" x 9 5/8" 1/2 Page 7 5/16" x 4 3/4" *Bleed only available for Full Page Ads Return this form and make check payable to: Indiana Horse Racing Commission ISTA Center, Suite 530 150 W. Market Street Indianapolis, IN 46204 NAME OF STALLION OWNER: _______________________________________________________ ADDRESS: _________________________________________________________________________ CITY: ____________________________________ STATE: ________________ ZIP: ____________ PHONE: _________________________________ E-MAIL: _________________________________

ADVERTISMENT CREATED BY: ______________________________________________________ CONTACT: _____________________________________ PHONE: ___________________________ ADVERTISEMENT FOR: _____________________________________________________________ Ad Size *Please note, covers will be allocated on a first come basis. _____ INSIDE FRONT COVER - $800 _____ INSIDE BACK COVER - $800 _____ OUTSIDE BACK COVER - $800 _____ _____ _____ _____ FULL PAGE COLOR - $600 FULL PAGE BLACK & WHITE - $500 1/2 PAGE COLOR - $300 1/2 PAGE BLACK & WHITE - $250

TOTAL ENCLOSED _______________