AHT Sales Form Sales Representative* Ashley Toye Jaime Jenn Lara Lesley Meaghan Danielle Other - list below Other Sales Representative Name Please enter name here Farm Name Please indicate the Farm Name if applicable - Does the client who is doing the ad have a Farm Name? Example: John Ames Using the Farm Name Whispering Pines. If no farm name for client, leave blank (This is NOT for the farm the client has their horse(s) at)Customer Name* Please indicate the Customer's Name- Example: John Ames Training Barn/Farm Please indicate the Training Barn or Farm Client is affiliated with if Applicable Example: John Ames Using the Farm Name Whispering Pines has his horses at Vicki Humphrey's Training Center. VHTC would go in this field. If not doing an ad affiliated with any barn, leave blank.Person Placing Ad* Who ordered the ad?. If you are doing an ad for John Ames of Whispering Pines, but Vicki Humphrey is the one that ordered the ad, put Vicki Humphrey's name here. If John did order it himself, put John Ames. This is so if questioned, we can go back and find out who ordered the ad.Ad Type*Magazine AdEblasts/Social MediaEvent salesAdditional IncomeVideoWebsitesSocial Media Package sold Single designed Eblast - $375 Single supplied Eblast - $300 Single Facebook Post of eblast - $75 Single Facebook post only - $175 Package of 5 designed Eblasts - $1625.00 Package of 5 supplied eblasts - $1425.00 Package of 5 Facebook Posts - $300.00 Package of 10 designed Eblasts - $3000.00 Package of 10 supplied Eblasts - $2650.00 Package of 10 Facebook Posts - $500.00 Social Media Management Other Package sold - Describe in next field Select all that applyEblast Package Enter what was sold in a package of eblasts and/or facebook postsSocial Media Management DetailsEnter details for social media management package soldWebsite design detailsEnter details for website design - or transfer information for moving current website to our hosting site.Website Monthly Hosting/Updates packageEnter details and rate for monthly website hosting/updates package sold - include rate, # of hours support included and if any additional domains or SSL connection is requested.Issue*US NationalsNovember World ChampionshipsDecemberOther MonthNOT IN MAGAZINE - ADDITIONAL INCOMEMonth What month will this be in?Special Section*No Special SectionAdditional Income - not in magazineUS NationalsAHT PicksPalmettoEnd of Year Coverage - CanadaEnd of Year Coverage - Youth/MidsummerEnd of Year Coverage - US NationalsChoose one from pulldownEditorial Feature (if applicable)No EditorialRetiring HorseChoose one from pulldownSection Example: English/Western/HalterPosition Requests Page Count* Show or EventEnter name(s) of the Show or event, i.e Region12, Buckey, US Nationals, etc.Product SoldEnter Product(s) sold: ie, Video, Photo sponsor, Phone Charging station sponsor, Daily blast sponsor, banner ad on event page, etc.Supplied by Designer Yes No AD Copy & Production NotesBilling Comments/NotesRate* For magazine ads, ad page rate, For eblasts or facebook posts ad package total For additional Income ad total to invoice. For Event Sales, total price (if multiple items sold, list individual prices in ad copy/notes section) For Social Media Management list monthly feeAdd Facebook post of ad: $50 Yes No Main Contact Billing Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Phone Email* photo or copy file upload Drop files here or Select files Accepted file types: jpg, gif, png, pdf, jpeg, doc, xls, docx, xlsx, Max. file size: 20 MB. If files are to large to load, please email to Jody CAPTCHANameThis field is for validation purposes and should be left unchanged.