Representor Classified Ad Form « Electronics Representatives Association

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**Classified Advertising in The Representor Magazine**

Reserve a classified ad in the next issue of The Representor by filling out the form below and submitting your secure, online payment.

Contact Name *

Company Name *

Advertiser type: *

Contact Email *

Company Address 1 *

Address 2

City State Zip/Postal Code *

Company Telephone

Select Ad Size and Member/Non-Member Rate: (see options below)

Single Checkbox Field

Single Checkbox Field

Special Instructions/Comments

Total

$0.00

Credit Card *

Card

Name on Card

After submitting this ad reservation form and payment, please forward all artwork to Clare Kluck at ckluck@era.org.

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