Advertising Form

If you’ve been given the green light by me for advertising on, please fill out this form.  Thank you!

  • Your information
    • First name (required)
    • Last name (required)
    • Your email (required)
    • Company
    • Title
    • Phone number
    • Twitter
    • Facebook
    • Instagram
    • Google+
    • Pinterest
    • YouTube
  • Advertising information
    • Ad image size
    • Ad image (static JPEG, PNG or GIF)
    • Ad target URL (will open in a new window)
    • Beginning on the first day of (mm/yyyy)
  • Terms
    • All ads must be approved and paid prior to going live on the blog. Approval of advertising will be made via an email confirmation to the listed email address above. A PayPal invoice will be sent monthly to the email listed above. Payment is due upon receipt. One month (30 day) contracts cannot be canceled.

      Advertiser assumes all risk and agrees to idemnify and hold harmless for any and all suits, claims, liabilities of any kind and damages that arise from the advertisement and any additional marketing and promotions.

      By submitting this form, I agree to the terms listed above.