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CONTACT & AD INFO
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*Agency / Advertiser Name :
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Campaign / Ad Name :
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*IO# :
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Creative Contact Name :
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Creative Contact Email :
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Creative Phone :
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() -Ext.
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Agency / Sales Contact Name :
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Agency Email :
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Agency / Sales Phone :
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() -Ext.
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INSERTION & ISSUE INFO
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Insertion 1 :
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BOPTiger Beat
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Issue Cover Date 1 :
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Insertion 2 :
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BOPTiger Beat
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Issue Cover Date 2 :
If this ad is slated for more than 2 issues, please indicate in instructions below.

UPLOAD
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Upload File 1 :
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Upload File 2 :
If more than 2 uploads for this IO, please submit an additional form.

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Replacement Ad Materials :
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YesNo
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If yes, indicate from what issue :
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Special Instructions : (i.e. if this creative is to be used for additional issues, please indicate here)
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Will you be overnighting a hard-copy of a print-matching proof to the Laufer Media offices?
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YesNo
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If yes, please add any additional notes about your proof below and be sure it is addressed to:
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Kelly Todd Gabrysch
\n"); document.write("Art Director
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\n"); document.write("Laufer Media
\n"); document.write("330 N. Brand Blvd. Ste. 1150
\n"); document.write("Glendale, CA 91203

\n"); document.write("T: 818-291-8408; F: 818.291.8483
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