Custom Product/Price Request

Custom Product/Price Request

Type of Request

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Advertiser*

Product Name(s) and Price(s)

Reason for price change*

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Naviga Campaign Number

John/MaryAnn Approved*

All requests must be approved by the publisher prior to submission for quote. Please check this box to confirm you have received approval from the publisher.

Sales Rep.*

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Brand*

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Custom Product Description*

Type Of Circulation*

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Targeted Circulation Information

If this is a targeted product please provide details on the targeting here.

COMP / PAID / SHOW

Please tell us if this product should be included in show copies or if we should have any comp list for the product

Type of paper

If the customer would like a specific paper weight or type please let us know!

Any other details you'd like to add?

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