Advertisment Submission Form
Complete this form, print & Fax to 07 41533821
Client
Date :
Company Name (Client) :
Address
Street & No. or PO Box No :
City or Town :
Postcode :
Authorised Contact :
Phone :
Fax :
Email :
Preffered method of contact :
 Email : Phone : Fax :
Details of Ad (Multiple choice acceptable)
In which Publication/s do  
you wish your ad to appear :
COASTLINE :
COALFIELDS EXPRESS :
BUNDY BOOK :
TOURIST QUEENSLAND :
Tabloid Ad Size :
1/4 Page 1/2 Page 10 X 2 10 X 3 Other
If Other - Preferred size:
1/4 Fold Ad Size :
1/8 Page
1/4 Page
1/2 Page
Full Page
Have an existing Ad? :
 Yes: No :
Have an existing Logo? :
 Yes: No :
Text to be displayed :
Email and Website URL :
Email: URL : www.
If you wish to speak to one of our staff about this or any of our services,
please phone: 07 4153 1133