AHT Sales Form Sales Representative* Ashley Gallun Ashley Toye Jaime Jenn Lara Lesley Meaghan Sara Wayne Danielle Other - list below Other Sales Representative NamePlease enter name here Farm NamePlease 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/FarmPlease 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 - $300 Single supplied Eblast - $250 Single Facebook Post - $50 Package of 5 Eblasts Package of 5 Facebook Posts - $250 Social Media Management Other Package sold - Describe in next field Select all that applyEblast PackageEnter 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*World Cup digital flip bookRegion 7/Region 12 Digital Flip BookMay/JuneJulyAugust/SeptemberOctoberDecemberOther Month2021 CalendarNOT IN MAGAZINE - ADDITIONAL INCOMEMonthWhat month will this be in?Special Section*No Special SectionRegion 7Region 12WesternEnglishYouthMidSummerAdditional Income - not in magazineChoose one from pulldownEditorial Feature (if applicable)NO EDITORIALEnglishWesternYoung ProfessionalChoose one from pulldownSectionExample: English/Western/HalterPosition RequestsPage 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 DesignerYesNoAD Copy & 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 ContactBilling 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 FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country PhoneEmail* photo or copy file upload Drop files here or Accepted file types: jpg, gif, png, pdf, jpeg, doc, xls, docx, xlsx. If files are to large to load, please email to Jody CAPTCHACommentsThis field is for validation purposes and should be left unchanged.