Booking Form

Company Name *

Contact Person *

Order #

Tel

Fax

Cell *

Email *

Confirm Email *

Website

Billing Address

Postal Code

Please select an advertisement

No. of Full Pages	(195mm x 90mm)	R7 600 + R1 200 for website	R8 800
No. of Half Pages	(92mm x 90mm)	R4 600 + R1 200 for website	R5 800
No. 1/4 of Pages	(45mm x 90mm)	R2 220 + R1 200 for website	R3 420

Corporate display advertisements

Inside Front Cover	(195mm x 90mm)	Only 1 space Available	R 16 500
Outside Back Cover	(195mm x 90mm)	Only 1 space Available	R 25 000
On Foldout Map	(195mm x 90mm)	Only 1 space Available	R 16 500
Full Page Inbook	(195mm x 90mm)	Only 1 space Available	R 12 500

Under which activity would you like to be listed if you offer more than one?

Should you not have a suitable image for your advertisement please contact us as we may be able to assist you.
We will email material specifications once we have received your completed booking form.
Should you request a corporate advertisement, a detailed material specification sheet will be emailed to you.

Note

By completing this booking form you agree to be bound by the terms and conditions as they appear on www.dirtyboots.co.za.
The advertiser will choose the address, phone and / or fax number reflected on the booking form for the purpose of delivering all documents and communications.
All communications shall be deemed to have been received 48 hours after hand-delivering, email or faxing.

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