Advertising Contract – The Louisiana Musician Name of Advertiser:(Required) Address:(Required) Mailing Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Contact Person:(Required) First Name Last Name Title:(Required)Phone:(Required)Email:(Required) ADVERTISING - PLANS AND FEES:See "Advertising Rates and Specs for complete information about advertising.SELECT ISSUES(Required)Select the issues in which you plan to advertise. September December March If you check "All Three Issues" you MUST click the ad size you are requesting for each edition.September Issue - Ad Size Full Page ($170) Half Page ($110) Quarter Page ($75) December Issue - Ad Size Full Page ($170) Half Page ($110) Quarter Page ($75) March Issue - Ad Size Full Page ($170) Half Page ($110) Quarter Page ($75) 10% Discount (All Three Issues) Price: $0.00 This field is hidden when viewing the formAll Three Issues - 10% DiscountEnter your three-issue discount code below: LAMUSICIAN. Note: The total must be paid in a single payment (credit card or check) and not paid per issue. PAYMENT PREFERENCE(Required) I prefer to pay by credit card. I prefer to pay by check. Processing Fee (Credit Card) Price: $0.00 Total Credit Card American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Expiration Date Month Month010203040506070809101112 Year Year20252026202720282029203020312032203320342035203620372038203920402041204220432044 Security Code Cardholder Name Billing Name First Last Billing Address Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code MAKE CHECKS PAYABLE TO: Louisiana Music Educators AssociationMAIL YOUR CHECK with a copy of your Contract to Advertise confirmation (emailed to the address you provide below) to: Carolyn Herrington, LMEA Editor, 2208 Blankenship Dr., DeRidder, LA 70634. BILLING EMAIL(Required) COMPANY or SCHOOL URL(Required)UPLOAD YOUR AD(Required)If you are uploading more than one ad, include the desired issue (month) in the file names. All ads should be 300 dpi or higher. All color images should be RBG color. Additional information can be found in "Advertising Rates and Specs." Drop files here or Select files Accepted file types: jpg, jpeg, png, pdf, Max. file size: 60 MB, Max. files: 3. UPLOAD YOUR OFFICIAL LOGO(Required) Drop files here or Select files Accepted file types: jpg, jpeg, png, pdf, Max. file size: 10 MB, Max. files: 2. ADVERTISING POLICIES(Required) By submitting this form, you are contracting to advertise in The Louisiana Musician issues selected above. You are also confirming that you have read through and agree to the information published in the "Advertising Rates and Spec" document. AD COPY DEADLINEAll ads must be received by the 5th of the month prior to the issue month. See information above. A receipt will be forwarded to the "Billing Email" you provide below. PhoneThis field is for validation purposes and should be left unchanged.