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2. 
4. Instructions
   1. Submit your insertion details and contact information below. 
   2. Upon receipt, a member of our team will contact you to confirm, review, and schedule. 
   3. An insertion order will be emailed to you for your final approval.

   Contact: Email Tasneem Kapadia, 609-695-3481 x121

6. Is this your company's first time placing an ad?

   1. Yes
   2. No
7. Are you an agency placing an ad on behalf of a client?

   1. Yes
   2. No
9. How did you hear about NJ Municipalities magazine?
   -- Select One --Web SearchMagazine SubscriberSaw a copy of the magazineAnnual ConferenceExhibitorCurrent League SupporterColleague ReferralElected Official/Municipal ReferralLeague Staff ReferralOther
11. Terms & Conditions
13. Review Terms & Conditions of Advertising
    Terms & Conditions

    Pertains to advertising in NJ Municipalities magazine, and the Daily Update email-add on.

15. Insertion Information
17. Ad Size*
    -- Select One --full page2/3 pg1/2 pg1/3 pg1/4 pgBusiness Directory (annual contract: 9 insertions, paid in advance)
18. Color Instructions*
    -- Select One --Black & White4-color (CMYK)
20. Cover Request
    -- Select One --nonefront (4x4 isosceles triangle on front cover & full page inside)2nd3rd4th

    Subject to availability.

22. Preferred Placement

    Subject to availability. Additional fee.

    1. Yes
23. Email Add-on

    Subject to availability. Additional fee.
    Minimum ad buy required: 3x 1/2 page ads or larger.

    1. Yes
25. Insertion Months*

    Select up to 9 months

    1. January
    2. February
    3. March
    4. April
    5. May
    6. June
    7. October
    8. November
    9. December
26. Company Category
    -- Select One --Affiliate GroupAuctionsBooksCannabisCodesCodes : Code BooksCommunicationsCommunications : Call Help CenterCommunications : PhonesCommunity DevelopmentConstructionConsultingCooperative PurchasingDisabilitiesDocumentsDocuments : Document ArchivalDocuments : Document Recovery & PreservationDrug PreventionEducationEmergencyEmergency : Alarm SystemsEmergency : Emergency SuppliesEmployee ManagementEmployee Management : PayrollEmployee Management : StaffingEnergyEnergy : Electric CompanyEngineeringEngineering : CivilEngineering : EnvironmentalEnvironmentEnvironment : EmissionsEnvironment : GreenPest ControlPetsPR/MarketingPublic SafetyPublic Safety : SuppliesPublic WorksPublic Works : PipelinePublic Works : SewersPublic Works : Snow/Ice RemovalPublic Works : WaterTechnologyTechnology : GIS/MappingTechnology : SoftwareWaste ManagementWaste Management : ContainersWaste Management : RecyclingOther
28. Contact Information
30. Company Name*
31. Agency Name
33. Contact First Name*
34. Contact Last Name*
36. Contact Title*

    Required

37. Contact Email*
39. Address 1*

    Required

41. City*

    Required

42. State/Province/Region*

    Required

43. Zip*

    Required

45. Phone*
46. This contact is:

    Check all that apply

    1. Primary
    2. Billing
    3. Print Artwork
    4. Digital Artwork
    5. Agency
48. Skip to the submit button at the end of this form if the contact name listed above is also the billing and artwork contact.
50. Billing Contact
51. Billing Title
53. Address
55. City
56. State
57. Zip Code
59. Artwork Contact
60. Artwork Title
62. Address
64. City
65. State
66. Zip Code
Leave This Blank:


68. 1. Receive an email copy of this form.
69. Email address

    This field is not part of the form submission.

70. Submit Submit and Print

* indicates a required field