Reader s Digest Magazine Order Form

Size: px

Start display at page:

Download "Reader s Digest Magazine Order Form"

Candice Curtis
9 years ago
Views:

1 Order Form Thank you for choosing to take advantage of the Xlibris Reader s Digest Magazine Marketing Packages. Finalizing your order is easy. Simply complete this form in its entirety and return it to Xlibris via , fax or mail. Finalising your order is easy. Please complete the required information, sign off and fax this form to (02) or [email protected] a scanned copy of this document. We also accept mailed order forms. If you would like to discuss the services further, feel free to contact the Marketing Services Department at or by at [email protected]. 3 Easy Steps to Complete this Order Form *Please write legibly if you are accomplishing this form by hand. You may use an extra sheet of paper whenever necessary. 1. Provide your personal and book information. Although Xlibris may have your contact information on file, we track this service separately from the original publication of your book. Be assured your privacy will be protected. 2. Select your preferred service package. 3. Provide payment information. Choose which payment method you prefer. You may send a cheque or money order, or provide credit card information. Or you may skip this portion if you have paid prior to receiving this form

Please complete the required information, sign off and fax this form to (02) 8282-5055 or email marketingservices@xlibris.com.au a scanned copy of this document. We also accept mailed order forms.

2 1 Personal Information Full name: Street Address: Apartment/Suite: City: State/Province: Zip/Postal: Daytime Phone: Evening Phone: Address: 2 Your Book Information Please indicate which book title(s) will be used for this marketing package(s). Book Title #1: Book ID #1: Book Title #2: Book ID #2: Book ID #1: Book Title #3: Book ID #3: Book ID #1: - 2 -

indicate which book title(s) will be used for this marketing package(s).

3 3 Service Package. Please select your preferred package Reader s Digest SelectView - Single $13,499 Half Circulation Single Slot Ad Press Release Campaign 100 (Pre and In-Month) Reader s Digest SelectView - Double $27,199 Half Circulation Double Slot Ad Press Release Campaign 500 (Pre and In-Month) Reader s Digest SelectView - Full $78,999 Half Circulation Full Page Ad Press Release Campaign 1000 (Pre and In-Month) Reader s Digest EliteView - Single $27,199 Full Circulation Single Slot Ad Press Release Campaign 100 (Pre and In-Month) Reader s Digest EliteView - Double $53,499 Full Circulation Double Slot Ad Press Release Campaign 500 (Pre and In-Month) Reader s Digest EliteView - Full $156,499 Full Circulation Full Page Ad Press Release Campaign 1000 (Pre and In-Month) - 3 -

$27,199 Half Circulation Double Slot Ad Press Release Campaign 500 (Pre and In-Month) Reader s Digest SelectView - Full $78,999 Half Circulation Full Page Ad Press Release Campaign 1000 (Pre and

4 4 Payment Information Congratulations! You are well under way to marketing your book with the Xlibris Reader s Digest Magazine Marketing Packages Please indicate how you would like to pay for your service and include payment with this order form. You may skip this portion if you have paid prior to accomplishing this form. Check / Money Order Please note that a non-refundable $20 handling fee will be charged for returned cheques Please make cheques or money orders payable to Xlibris Corporation. Credit Card To ensure the complete security and confidentiality of your credit card information, Xlibris does not keep a written record of your card details. Please call and speak directly with our Finance Reps. I have already paid for my Reader s Digest Magazine Marketing Package By marking the I Agree checkbox and affixing my signature below, I authorize Xlibris to charge my credit card for the total amount listed above. Only sign this portion if you would like to pay by credit card. SIGNATURE OVER PRINTED NAME Date / / I Agree

order form. You may skip this portion if you have paid prior to accomplishing this form.

5 Thank you for choosing Xlibris Reader s Digest Magazine Marketing Packages. Did you remember to fill out your contact and book information? Did you select the package of your choice? Did you supply your payment information? Did you fill out and sign the attached agreement? Please sign your completed form and fax or to Xlibris at: Disclaimer Fax: (02) [email protected] Xlibris will not be responsible for meeting registration deadlines if this service is purchased before publication is completed. The responsibility of adhering to submission deadlines for specific issues will be the sole responsibility of the author. Contract withdrawal and/or refund requests will no longer be entertained once the author has signed and submitted the approval form for the marketing services product(s). Moreover, the prerogative to revise product content shall no longer apply. Any orders paid via cheque and returned to the company for insufficient funds will be assessed a fee, payable prior to order fulfillment. Although it is the primary goal of Xlibris Marketing Services, we cannot guarantee immediate results in the increase of book sales through these campaigns. By affixing my signature below, I agree to the terms set forth to this agreement. SIGNATURE OVER PRINTED NAME Date / / - 5 -

Please sign your completed form and fax or e-mail to Xlibris at: Disclaimer Fax: (02) 8282-5055 E-mail: marketingservices@xlibris.com.au Xlibris will not be responsible for meeting registration deadlines if this service is purchased before publication is completed.

In-Flight Magazine Order Form

In-Flight Magazine Order Form Order Form Thank you for choosing to take advantage of the Xlibris In-Flight Magazine Marketing Packages. Finalizing your order is easy. Simply complete this form in its entirety and return it to Xlibris