Date:             _______________      Bulldog Representative: ________________________   

Company:        _______________________________________________________________

Address:        __________________________________________________________________________

_______________________________________________________________________________________

Contact:          _______________________________  Phone Number: ______________________

Number of display ad(s): _______________________   

B&W or Color (Specify): _______________________________________________________   

Size of display ad(s): _______________________________                                         

Issue date(s):  _______________      

Copy source:   [ ]Camera ready art supplied by advertiser   [ ]Bulldog staff to create ad 

Amount Due:  $ ______________  
     
Payment submitted with ad/insert:       [ ] YES        NO, TO BE SUBMITTED BY_____________

Special instructions (if any):     _____________________________________________________________

________________________________________________________________________________________

________________________________________________________________________________________

________________________________________________________________________________________

________________________________________________________________________________________

Tear sheets to be sent to:     _______________________________________________________________

________________________________________________________________________________________

________________________________________________________________________________________

Questions about this insertion order?
Contact Anne Burnett, Bulldog Advisor, at 818.558.4700 x51141 or anneburnett@burbankusd.org