Kiawah-Seabrook Exchange Club
ORDER ENTRY PAGE

NAME OF BUSINESS
BUSINESS ADDRESS
CITY
STATE
PRIMARY CONTACT
PHONE NUMBER
SALES CONTACT NAME
EMAIL ADDRESS
CONTACT (ALT)
PHONE NUMBER (ALT)
FAX  NUMBER
ZIP CODE
PHONE NUMBER
EMAIL ADDRESS (ALT)
EMAIL ADDRESS
ADVERTISER INFORMATION
KS EXCHANGE CLUB CONTACT
ORDER DETAILS
ORDER ORIGINATOR
Role
ORDER DATE  -   MM/DD/YYYY
NOTE:  Leave blank if contact is not known
Primary Listing Category
Line 1
(Name & Phone #)
Line 2
(Address etc)
Line 3
(Add'l Charge)
See attached categories list
Maximum of 70 characters
Maximum of 70 characters
Maximum of 70 characters
Listing Text
Extra Listing Category (Add'l charge)
Line 1(Name & Phone #)
Line 2(Address etc)
Line 3
(Add'l Charge)
See attached categories list
Maximum of 70 characters
Maximum of 70 characters
Maximum of 70 characters
Listing Text
ARTWORK PLANS
Size
Style
For quarter  page  ads only,
I prefer:

LISTING(S) SECTION
* Additional Charge
EXAMPLES QUARTER PAGE ADS
Horizontal
Orientation
Vertical
Orientation.
Use the fields below to complete the business listing information,  Use it  for "Listing Only" ads or for the listing information for New or Modifed Orders where a new  listing or changes to the listing are required.
Text Changes for
Text change only to current artwork
Artwork to be sent electronically to 
suesuffel@ks-exchangeclub.com according to Artwork Specification
COMPLETE ORDER AND SUBMIT
Comments on Listings if Any
ORDER TYPE (Select one below.)
Explain artwork plans and date of  delivery for
New or modified artwork
NEW OR MODIFIED ORDERS ONLY
ATTENTION!  Orders will not be received unless submitted using the button below.
WEB ADDRESS
Use previous artwork
Text changes only to current artwork *
New or modified artwork *
Vertical Orientation
Horizontal  Orientation
Use Previous Listing
Repeat Order No Change
Listing Only Order
New Or Modified Order
Full Page
Half Page
Quarter Page
Color
Black & White
Advertiser Representative
Sales Contact