EmailMe Form - Calendar: Save The Date Submission Form

CALENDAR ENTRY AND PAYMENT ARE BOTH MADE THROUGH THIS FORM. MULTIPLE LISTINGS MUST BE SUBMITTED AND PAID FOR INDIVIDUALLY.

SUBMITTER CONTACT INFORMATION

Please provide the your name, phone and email so we can contact you if we have any questions.

Submitter name *

First Last

Submitter phone *

### - ### - ####

Submitter email *

Re enter to confirm email

SAVE THE DATE COPY

Please provide the following information for your Save The Date event. Standard Save The Date listings are $65; Extended Save the Dates are $75. You may upgrade this listing to include a private box in the Payment Information field at the bottom of this form.

Event title *

Event price

$ Dollars . Cents

Description (max 50)
—This is only part of your listing. Event title, dates, times and contact info are entered in other boxes— *

You do not need to enter dates, times or contact info in this box. Enter those below. Do not use all caps, exclamation points or italics unless they are a part of the official name of a business.

Extended description
(20 extra words for + $10)

EVENT DATES

Please provide the dates for your Save The Date event.

Start date *

MM / DD / YYYY

End date *

MM / DD / YYYY

Start time
(leave blank for multi-date events)

HH : MM AM/PM

End time
(leave blank for multi-date events)

HH : MM AM/PM

EVENT CONTACT INFORMATION

THE INFORMATION BELOW WILL BE PRINTED IN THE MAGAZINE.
Please provide a phone, email and/or web site that readers can use to get more information.

Event contact name (optional)

First Last

WILL BE PRINTED IN THE MAGAZINE. Must also provide phone, e-mail and/or website address below.

Event phone *

### - ### - ####

WILL BE PRINTED IN THE MAGAZINE.

Event email

WILL BE PRINTED IN THE MAGAZINE.

Re enter to confirm email

Event web site

WILL BE PRINTED IN THE MAGAZINE.

EVENT LOCATION

THE INFORMATION BELOW WILL BE PRINTED IN THE MAGAZINE.

Business name (if event is being held at a business)

Business address (where this event will be held) *

Street Address City State / Province / Region Postal / Zip Code

REQUIRED PAYMENT INFORMATION:
STANDARD
EXTENDED
PRIVATE BOX OPTION *

Standard Save the Date, 60 words ($65)

Extended Save the Date, 80 words ($75)

This listing is part of my contracted event package. The description is standard length ($0)

This listing is part of my contracted event package. The description is extended length ($10)

I am purchasing a private box and will complete the information in the payment box below

Check ONLY ONE box above (required).

OPTIONAL PAYMENT INFORMATION:
PRIVATE BOX WITH LOGO
AND MULTIPLE LISTINGS

I am purchasing a private box and this is my first listing this month. It is standard length ($50 for box purchase + $55 for first listing)

I am purchasing a private box and this is my first listing this month. It is extended length ($50 for box purchase + $65 for first listing)

I am purchasing a private box and this NOT my first listing this month. It is standard length. ($55)

I am purchasing a private box and this NOT my first listing this month. It is extended length. ($65)

Check ONLY ONE box above if purchasing a private box. Email logo to Publisher@NABuxMont.com.

SOCIAL MEDIA BOOST

Save The Date prices include inclusion in our print publication and online magazine. Also included is 1x each promotion in our e-newsletter (1,600 subscribers), Facebook (1,100 Friends), and Twitter (700+ followers). For even more social media exposure, choose one of our optional Social Media Boosts.

OPTIONAL PAYMENT INFORMATION:
SOCIAL MEDIA BOOST

Basic: 1x Facebook Boost to 3000 Natural Awakenings page followers and others in your chosen target market demographic ($59)

Premium: 2x Facebook Boost to 3000 Natural Awakenings page followers and others in your chosen target market demographic ($99)

ALMOST DONE!

Before pressing submit, please carefully double-check your submission for accuracy. We are not responsible for incorrect information provided. We reserve the right to edit all submissions to fit our style, length and guidelines, without prior approval or review.

I would like to subscribe to Natural Awakenings BuxMont's mailing list *

Yes

No

I am already a subscriber

Subscribe to our mailing list to get our occasional updates in your inbox.

I understand that there will be a charge for this listing, and that this page will redirect me to PayPal to complete payment. (You may check out as a guest. PayPal account not required.) *

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