Display Advertising Insertion Order

Please print this form, complete it, sign it and fax or mail it to the address below.

YES, please place my display ad in the issue(s) of Travel 50 & Beyond magazine indicated
     below:

    Spring (closes 12/29/2008; mails 2/27/2008)
    Summer (closes 2/27/2009; mails 4/28/2009)
    Special Issue (closes 4/28/2009; mails 6/26/2009)
    Fall (closes 6/26/2009; mails 8/27/2009)
    Winter 2010 (closes 10/29/2009; mails 12/29/2009)

Advertiser's Name:


*Ad size:  2-pg. spread
1/2 p. island
1/3 p. square
Full page
1/2 p. horizontal
1/3 p. vertical
2/3 page
1/2 p. vertical
1/6 p. vertical

Color: 4-color
Black & white
Bleed
Special Position

*Rate:____________________

Special Instructions:
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________

NAME AND ADDRESS OF ORGANIZATION PLACING ORDER
Name________________________________________________Title___________________
Company______________________________Address_______________________________
City________________________________________________State_________Zip_________
Phone (     )_______________Fax (     )_______________Email_________________________
Signature______________________________________________________Date___________

Print this form, complete, sign and return with materials to:

Travel 50 & Beyond
5851 San Felipe Street, Suite 500
Houston, TX 77057
Questions: Call (713) 974-6903 or fax (713) 978-6003.

*See rate card for ad sizes, prices, and mechanical requirements.

Travel 50 & Beyond Magazine
Copyright © 2007 by Travel 50 & Beyond. All rights reserved.