Collection Site & Event Advertising Request

Site or Event Details
Site or Event Host Name
Site Opening or Event Date
MM slash DD slash YYYY
Site Hours of Operation or Event Time
Location Name (i.e. Main Street Landfill, Main Street Transfer Station, Main Street Recycling)
Collection Address
Street Address Address Line 2 City State ZIP / Postal Code
Which promotional materials would you like to customize (check all that apply)?
- Flyer
- Print Ads
- Radio Spot
Point of Contact
Name
First Last
Email
Phone
Additional contacts to include (emails only)

Print Ads
Provide contact information for the publications and any known details about your desired ad
Name of Media Outlet 1
Media Outlet 1 Contact Information
Link to Media Outlet Media Kit
Details of Ad (Size, Color, Length, etc.)
Name of Media Outlet 2
Media Outlet 1 Contact Information
Link to Media Outlet Media Kit
Details of Ad (Size, Color, Length, etc.)
Additional Information:

Radio Spots
Provide details about the radio station(s) and any advertising/sales contacts you might have identified or worked with previously
Preferred Radio Stations
Radio Station Contacts
Additional details or important information you'd like to include in the script (unit limits, residency restrictions, etc.)

ATTENTION