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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
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:
    Ad in League's Daily Update

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

    1. Yes
24. Email Add-on:
    Ad in Magazine e-Newsletter

    Subject to availability. Additional fee.
    Minimum ad buy required: One 1/2 page ad or larger size.

    1. Yes
26. 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
27. 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
29. Contact Information
31. Company Name*
32. Agency Name
34. Advertiser Contact First Name*
35. Advertiser Contact Last Name*
37. Advertiser Contact Title*

    Required

38. Advertiser Contact Email*
40. Address*

    Required

42. City*

    Required

43. State/Province/Region*

    Required

44. Zip*

    Required

46. Phone*
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 Name
51. Billing Contact Email
53. Billing Address
55. Billing City
56. State
57. Zip Code
59. Artwork Contact Name
60. Artwork Contact Email
62. Artwork Address
64. Artwork City
65. Artwork State
66. Artwork Zip Code
68. Skip to the submit button at the end of this form if you are not using an agency to place this ad.
70. Agency Contact
71. Agency Contact Title
73. Agency Email
75. Agency Address
77. Agency City
78. Agency State
79. Agency Zip
Leave This Blank:


81. 1. Receive an email copy of this form.
82. Email address

    This field is not part of the form submission.

83. Submit Submit and Print

* indicates a required field