The National List of Advertisers Listing Application Form

You may apply online here or download the pdf application form to send to CARDonline.

Complete the general application form. Submit to CARDonline.

Where information is not available, indicate with 'n/a'.

* indicates required field

GENERAL INFORMATION

Company Name: *
Address: *
City: *
Province/State: *
Postal Zip/Code: *
Country:
Phone: *
Toll Free:
Fax: *
Email: *
Website: *

CONTACT INFORMATION

You will be receiving an update of your information on a monthly basis. To whose attention should these updates be sent?

First name: *
Last name: *
Title: *
E-mail: *
To which address? (if different from address above)
Company:
Address:
City:
Province/State:
Country:
Postal/Zip Code:

Please give the name and address of the parent company, if any:

PERSONNEL INFORMATION

Please list the names and titles of the key marketing personnel for this company; max. 5 titles:

Name:		Title:
Name:		Title:
Name:		Title:
Name:		Title:
Name:		Title:
Name		Title:
Name:		Title:
Name:		Title:

Who is the company's Sponsorship Manager?

PRODUCT INFORMATION

Briefly describe the company's general business activity (max 25 words):

Please list your advertised product lines and/or services along with specific brand names: Eg. Household cleansers: RealKlenz, Sanigel, Mr. Tidy

ADVERTISING PLACEMENT

Does your company place any of its advertising directly? Yes No

Please list the names of any advertising agencies that place advertising on the company's behalf, along with the contact person and title:

SALES BUDGET, ADVERTISING EXPENDITURE

Company's gross annual sales ($CDN):

Company's estimated annual expenditure ($CDN):

Company's annual sponsorship budget ($CDN):

Is the sponsorship budget included in the above advertising budget?
Yes No

What are the usual planning months for advertising?

ADVERTISING MEDIA

Check (all applicable) media your company uses to advertise:

I understand that The National List of Advertisers has the right to edit any and all information as supplied by the listee or on the listee's behalf. I further understand that all information regarding this listing is the exclusive property of The National List of Advertisers and may be stored, published and sold at the discretion of The National List of Advertisers and likewise may be modified, appended or deleted at any time in accordance with current editorial policies. Moreover, I agree to update this listing on an annual basis or as requested by The National List of Advertisers.

I Accept – Name: Date: Format: mm/dd/yy

I Decline

Ad Specialties	Direct Marketing	Radio
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