Note: This event listing form is for ONLINE LISTINGS ONLY (all rates are net).

Advertiser*

Mailing Address*

Street Address Address Line 2 City State ZIP Code

Contact Name*

Phone*

Email Address*

Fax Number (Optional)

Event listing rates are for ONLINE ONLY (all rates are net).

Rate: $25 for 3 months per website. There is a 6.3% advertising tax on Arizona events.

Select state in which you would like your event listing placed*

Arizona Listing Cost 1

Non Arizona Listing Cost 1

Arizona Listing Cost 2

Non Arizona Listing Cost 2

Select island in which you would like your event listing placed*

Arizona Advertising Tax: $1.58

I would like my event to be listed in more than one state.

I would like my event to be listed in more than one state/island.

Select additional state in which you would like your event listing placed*

Select additional island in which you would like your event listing placed*

Arizona Advertising Tax: $1.58

Total Amount Due

Event Information:

Name of Event*

Does this event last more than one day?*

Yes
No

Date of Event*

Beginning Date of Event*

Ending Date of Event*

Does this events have a starting time?*

Yes
No

Starting Time*

: HH

MM

Does this event have an ending time?*

Yes
No

Ending Time*

: HH

MM

Event Location

Event Phone Number

Describe your event in 10 words or less.*

Event Website

Event Listing Image

Please upload an image or logo to be included with your event listing. All images will be resized to approximately 175px in width.

Type of Payment*

Amex
Discover
Mastercard
Visa

Name on Credit Card*

Credit Card Number*

4 digit security code*

What is my security code?

3 digit security code*

What is my security code?

Expiration Date (Month & Year)*

Billing Address is the same as Mailing Address

Billing Address*

Street Address Address Line 2 City State ZIP Code

Signature*

Date: 11/21/2024

Comments

1. Full or Partial Payments are non-refundable, including instances when ad is cancelled by advertiser. 2. All ad & listing positions are determined by MC Publishing Inc. unless otherwise stated in additional provisions of this agreement. 3. Payment in full is due at time of contract signing unless otherwise noted. 4. No listings, advertisements or active website links containing sexually explicit, adult only, or otherwise inappropriate content will be accepted. 5. All artwork is subject to approval. If additional services are requested or deemed necessary, Advertiser agrees to be held responsible for payment of the additional cost incurred. Advertiser is responsible for final ad approval and publisher shall not be held responsible for errors and no type of refund cash or other given. 6. Refunds for errors or omissions on the publisher side will only be made as credit towards future advertising.*

I agree to the terms listed above.

1. All ad & listing positions are determined by MC Publishing Inc. unless otherwise stated in additional provisions of this agreement. 2. No listings, advertisements or active website links containing sexually explicit, adult only, or otherwise inappropriate content will be accepted. 3. All artwork is subject to approval. If additional services are requested or deemed necessary, Advertiser agrees to be held responsible for payment of the additional cost incurred. 4. Advertiser is responsible for final ad approval and publisher shall not be held responsible for errors and no type of refund cash or other given.*

I agree to the terms listed above.

Event Listing Form

Event Information: