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Local & National Sponsor Advertising Packages
Insurance PhoneBook.com has made a commitment to developing strong Local & National Advertising Campaigns that are designed to fit the needs of our top sponsors. Please complete the online questionnaire below which will help us to develop an advertising package that is right for your business! If you have any questions you may contact our Marketing & Advertising Department at (800)-576-1845 ext.1108
Sponsor Advertising Questionnaire:
Business Name
First Name
Last Name
Address
City
State
Country
Postal Code
Email	This program uses encrypted email
Phone
Fax
Website	Example: http://www.yourdomain.com
Additional Websites	List any additional websites for advertising
Designation	Example: CEO, CFP, CLU
Primary Category
Additional Categories	List any additional categories for advertising
What type of advertising are you currently using?	Yellow pages Mailers Newspaper/Sponsorship Programs/Other Internet Keywords (Pay per click, ex: Yahoo) Banner Advertising Affiliate Programs
What type of advertising are you interested in?	Local State(s) National List any additional websites for advertising

What is your advertising budget per month?	$100.00 to $500.00 $500.00 to $1000.00 $1000.00 to $5000.00 $5000.00 to $10,000.00 $10,000.00 to $20,000.00 $20,000.00 and higher
List any Additional Request or Comments:

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