Carolina Communicator
Advertising Insertion Order

Date of order: ___________ Order placed by: __________________________________

Company: _____________________ Authorized by: _____________________________

Contact: ________________________________________________________________

Address: ________________________________________________________________

City/State/Zip: ___________________________________________________________

Telephone: ________________ E-mail: ___________________ Fax: _______________

Ad agency: ______________________________ Contact: ________________________

Address: ________________________________________________________________

City/State/Zip: ___________________________________________________________

Telephone: ________________ E-mail: ___________________ Fax: _______________

Deadlines: Issue Space Reservation Material Due
  January Nov. 5 Nov. 15
  April Feb. 5 Feb. 15
  July May 5 May 15
  October Aug. 5 Aug. 15

No. of insertions: ____| Issue(s): January ___| April___| July___| October___|

Size: Full page___| 1/2___| 1/4 ___| 1/8 ___|

Disk furnished ___| Camera-ready art ___|

Ad rate: ______________

Check enclosed ___| Please charge my: Mastercard ___| Visa ___| Exp. Date: __________

Account no.: ____________________ Authorization signature: ________________________________________

Please return this order to Carolina Communicator, School of Journalism and Mass Communication, University of North Carolina at Chapel Hill, Campus Box 3365, Carroll Hall, Chapel Hill, NC 27599-3365; or fax it to (919) 962-0620, ATTN: Carolina Communicator.