July 15, 2011 - City of Pinole

Pinole Community Activity Guide
Advertising Submission Form
Please fully complete the form. Form, payment and ad copy must be submitted before the deadline to
be included in the issue.
Organization/Business Name ____________________________________________________________
Circle One: Nonprofit Commercial
Nonprofit Organizations must submit IRS proof of nonprofit status
Contact Name _______________________________________________________________________
Address _____________________________________________________________________________
Street City Zip
Phone ______________________________________________________________________________
Work Cell Fax
Email _______________________________________________________________________________
Website ____________________________________________________________________________
Advertisement copy must be in grayscale, resolution of 300dpi or higher and created to the dimensions
stated below. Acceptable file formats include pdf, jpeg, eps and tiff. Advertisement copy under 3MB
may be emailed and over 3MB must be dropped off or mailed on a CD.
Rerun my ad copy from __________________________
Edition and Year
Advertisement Dimensions (Check One)
� 1/8 Page (3.75” x 2.375”) � 1/4 Page (3.75” x 5”) � 1/2 Page Horizontal (7.75” x 5”)
For Profit $175; Non‐Profit $140 For Profit $300; Non‐Profit $240 For Profit $550; Non‐Profit $440
� 1/2 Page Vertical (3.75” x 10.25”) � Full Page (7.75” x 10.25”)
For Profit $550; Non‐Profit $440 For Profit $1,000; Non‐Profit $800
Payment Information
Please note that payments will be processed upon confirmation of advertisement space for each guide.
� Check enclosed (made payable to the City of Pinole)
� Credit Card Visa MasterCard
Card # _________________________________ Exp. Date (Mo/Yr): _______________ Security Code* ____________
Name (as appears on card) ____________________________ Signature ____________________________________________
Address: ___________________________________________________________________________________________
Street City Zip
I agree that by signing this form I am authorizing the City of Pinole to charge my credit card for the cost
of advertisement in the Pinole Community Guide as listed above.
*The last three digits on the back of the credit card in the signature area.
Phone: (510) 724‐9062 ● Fax: (510) 724‐1528 ● Email: recreation@ci.pinole.ca.us
Mail/In‐Person Delivery: 635 Tennent Ave., Pinole, CA 94564 (Youth Center)