Advertiser Registration Form

2017 Advertiser Registration Form

Advertiser Contact Information

Organization/Business Name *

Primary Contact Person *

First

Last

Phone Number *

Alt. Phone Number *

Email *

Preferred Method of Contact *

Email me Use my Mailing Address Does not matter

Address *

Line 1

Line 2

City

State

Zip Code

Country

Advertisement Information

Select Advertisement Size *

3"x3" Large Ad = $100.00 2.25"x3" Medium Ad = $75.00 1.5"x3" Business Card Ad = $50.00 .75"x3" Small Ad = $25.00

Check one of the Following: *

Use last year's ad, there are no changes I want to make changes to my ad, I will email changes to hc.bigfootjamboree@gmail.com I have not advertised before, I will email my ad to hc.bigfootjamboree@gmail.com

Payment Information

Payment Method *

Pay online with PayPal (you'll be directed to PayPal after clicking submit) Mail in a check (Mail to: Happy Camp Coordinating Council, P.O. Box 237, Happy Camp, CA 96039)

Authorization

Sign this Form by Typing Your Name *

Submit