Advertising Commitment Form Fall/Winter 2021/22 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 oneAdvertising OptionsCheck 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 ClarificationIf 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. CAPTCHA To pay through Square, click here.