Connected Advertising | 5 Healthy Towns

Select Issue(s)*
- Fall/Winter 2021/22
Select all that apply. Ad Commitment Deadline for Fall/Winter 2021-22 is February August 1st. Camera ready art due to 5HF August 15,
Contact Name*
Organization Name*
Billing Address*
City, State, Zip Code*
Contact Phone Number*
Contact Email*
Payment Method*
- Check Payable to 5 Healthy Towns Foundation
- Online payment with Square
Please select one
Advertising Options
Check all that apply*
- Full Page prepaid w/ Square
- Full Page invoiced
- Half Page prepaid w/ Square
- Half page invoiced
- Quarter Page invoiced or Square payment
- 1/8 page invoiced or prepaid w/Square
Prepaid price for the Fall/Winter issue is good through August 1, 2021.
Multi-Edition Clarification
If you are selecting multiple editions, and different size ads, please indicate above which size for which edition.
Ad Artwork
- Providing artwork (Deadline August 15)
- Need assistance (need request by August 1)
Are you providing your own artwork or do you want assistance on ad development? Please select one.
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To pay through Square, click here.

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