Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Name *FirstLastEmail (we will send proof and invoice to this email) *Cell Phone # for contact person *United States +1United States+1United Kingdom+44Afghanistan+93Albania+355Algeria+213American Samoa+1Andorra+376Angola+244Anguilla+1Antigua & Barbuda+1Argentina+54Armenia+374Aruba+297Ascension Island+247Australia+61Austria+43Azerbaijan+994Bahamas+1Bahrain+973Bangladesh+880Barbados+1Belarus+375Belgium+32Belize+501Benin+229Bermuda+1Bhutan+975Bolivia+591Bosnia & Herzegovina+387Botswana+267Brazil+55British Indian Ocean Territory+246British Virgin Islands+1Brunei+673Bulgaria+359Burkina Faso+226Burundi+257Cambodia+855Cameroon+237Canada+1Cape Verde+238Caribbean Netherlands+599Cayman Islands+1Central African Republic+236Chad+235Chile+56China+86Christmas Island+61Cocos (Keeling) Islands+61Colombia+57Comoros+269Congo - Brazzaville+242Congo - Kinshasa+243Cook Islands+682Costa Rica+506Croatia+385Cuba+53Curaçao+599Cyprus+357Czechia+420Côte d’Ivoire+225Denmark+45Djibouti+253Dominica+1Dominican Republic+1Ecuador+593Egypt+20El Salvador+503Equatorial Guinea+240Eritrea+291Estonia+372Eswatini+268Ethiopia+251Falkland Islands+500Faroe Islands+298Fiji+679Finland+358France+33French Guiana+594French Polynesia+689Gabon+241Gambia+220Georgia+995Germany+49Ghana+233Gibraltar+350Greece+30Greenland+299Grenada+1Guadeloupe+590Guam+1Guatemala+502Guernsey+44Guinea+224Guinea-Bissau+245Guyana+592Haiti+509Honduras+504Hong Kong SAR China+852Hungary+36Iceland+354India+91Indonesia+62Iran+98Iraq+964Ireland+353Isle of Man+44Israel+972Italy+39Jamaica+1Japan+81Jersey+44Jordan+962Kazakhstan+7Kenya+254Kiribati+686Kosovo+383Kuwait+965Kyrgyzstan+996Laos+856Latvia+371Lebanon+961Lesotho+266Liberia+231Libya+218Liechtenstein+423Lithuania+370Luxembourg+352Macao SAR China+853Madagascar+261Malawi+265Malaysia+60Maldives+960Mali+223Malta+356Marshall Islands+692Martinique+596Mauritania+222Mauritius+230Mayotte+262Mexico+52Micronesia+691Moldova+373Monaco+377Mongolia+976Montenegro+382Montserrat+1Morocco+212Mozambique+258Myanmar (Burma)+95Namibia+264Nauru+674Nepal+977Netherlands+31New Caledonia+687New Zealand+64Nicaragua+505Niger+227Nigeria+234Niue+683Norfolk Island+672North Korea+850North Macedonia+389Northern Mariana Islands+1Norway+47Oman+968Pakistan+92Palau+680Palestinian Territories+970Panama+507Papua New Guinea+675Paraguay+595Peru+51Philippines+63Poland+48Portugal+351Puerto Rico+1Qatar+974Romania+40Russia+7Rwanda+250Réunion+262Samoa+685San Marino+378Saudi Arabia+966Senegal+221Serbia+381Seychelles+248Sierra Leone+232Singapore+65Sint Maarten+1Slovakia+421Slovenia+386Solomon Islands+677Somalia+252South Africa+27South Korea+82South Sudan+211Spain+34Sri Lanka+94St. Barthélemy+590St. Helena+290St. Kitts & Nevis+1St. Lucia+1St. Martin+590St. Pierre & Miquelon+508St. Vincent & Grenadines+1Sudan+249Suriname+597Svalbard & Jan Mayen+47Sweden+46Switzerland+41Syria+963São Tomé & Príncipe+239Taiwan+886Tajikistan+992Tanzania+255Thailand+66Timor-Leste+670Togo+228Tokelau+690Tonga+676Trinidad & Tobago+1Tunisia+216Turkey+90Turkmenistan+993Turks & Caicos Islands+1Tuvalu+688U.S. Virgin Islands+1Uganda+256Ukraine+380United Arab Emirates+971United Kingdom+44United States+1Uruguay+598Uzbekistan+998Vanuatu+678Vatican City+39Venezuela+58Vietnam+84Wallis & Futuna+681Western Sahara+212Yemen+967Zambia+260Zimbabwe+263Åland Islands+358Publishing date you are bookingSales Person you are working with *Kathy MustoTanya RowanNiome DuboisBekki PinaKerry BoydSingle or Double Page Ad *Single PageDouble Page SpreadWhat Section are you booking your ad in? *Pages 3-4-5-6 (Rep must of approved placement available)SpotlightPreferredRegularNOHSREGISTERED NAME (AS YOU WOULD LIKE IT TO APPEAR IN THE AD) PLEASE LIST IF THE TITLES ARE AKC, CKC, FCI, UKC EXTRA. YOU MUST LIST WHAT REGISTRY EACH TITLE IS FROM.CALL NAME (AS YOU WOULD LIKE IT TO APPEAR IN THE AD)BREEDER(S) (AS YOU WOULD LIKE THIS TO APPEAR IN THE AD)OWNER(S) (AS YOU WOULD LIKE THIS TO APPEAR IN THE AD) HANDLER(S) (AS YOU WOULD LIKE THIS TO APPEAR IN THE AD)RANKING AND STATS SYSTEM; PLEASE INCLUDE RANKING AS YOU WOULD LIKE IT TO APPEAR IN THE AD. PLEASE NOTE: IF YOUR RANKING IS WITHIN YOUR BREED, PLEASE LIST AS TO APPEAR IN THE AD, I.E. "#1 BASSET HOUND ALL BREED". ANY RANKINGS NOT SPECIFIED WILL NOT BE INCLUDED.RANKING REFERENCE (I.E. AKC 5/31)ADDITIONAL TEXT TO BE USED IN THE AD (I.E. MULTIPLE GROUP WINNER)PREFERRED COLORS:If you do not complete this section, we will choose which colors and style preferences work the best. Any changes to preferences will result in a $35 redesign fee.DO NOT USE THESE COLORS:THEME PREFERENCES (I.E. I WOULD LIKE A HARRY POTTER THEME) FONT PREFERENCES (I.E. I DO NOT LIKE CURSIVE WRITING)I CONSENT TO THE USE OF MY PHOTOS FOR SOCIAL MEDIAYesNoI UNDERSTAND THAT BY COMPLETING THE FORM I AM PROVIDING THE INFORMATION AND PHOTOS THAT I WOULD LIKE TO BE USED IN AN AD. I UNDERSTAND THAT IF I FAIL TO PROVIDE PREFERENCES FOR INFORMATION OR PHOTOS, THAT ADFW HAS CREATIVE FREEDOM TO CREATE WHAT WOULD LOOK BEST FOR THE AD. ANY REVISIONS OR ADDITIONS OF PHOTOS, ETC., FOR FAILURE TO SPECIFY CONTENT WILL BE CHARGED A REDESIGN FEE. I ALSO UNDERSTAND THAT EXCESSIVE AD REVISIONS MAY RESULT IN AN ADDITIONAL REDESIGN FEE. ANY EXCESSIVE REVISIONS WILL BE SUBJECT TO A REDESIGN FEE. I ALSO CONFIRM THAT THE ABOVE RANKINGS AND REFERENCES ARE TRUE AND HAVE BEEN CONFIRMED VIA RANKING SCREEN SHOT. THERE WILL BE A $50 LATE FEE FOR CONTENT SUBMITTED AFTER 9PM CENTRAL TIME THE MONDAY PRIOR TO PUBLICATION. * *agreeWe will reply back to this ad submission for your photos be emailed to us for best quality. Please only send images we can use, additional fees may be levied to redesign/replace. There is a MAXIMUM limit of 3 photos per single page or 6 per double page. Any additional images requested after ad has been designed will be subject to a redesign fee Submit