Advertising Form

Organization / Company Name*

Contact Name:*

First Last

Phone*

Email*

Mailing Address*

Street Address Address Line 2 City State ZIP Code

Is the billing address the same as the mailing address?*

Billing Address

Street Address Address Line 2 City State ZIP Code

Choose your ad size:*

Full Page Ad (8"w x 10.5"h)
1/2 Page Ad (8"w x 5"h)
1/3 Page Ad (8"w x 2.6"h)
1/4 Page Ad ( 3.8"w x 5"h)
1/6 Page Ad (3.8"w x 2.5"h)

Are you a Rise Up partner or an MREA Business Member?*

Rise Up partner/MREA Business Member Discount

Price:

Total

$0.00

Payment Type*

Please send your payment by check to MREA, made out to "Midwest Renewable Energy Association":

Attn: Amiee Wetmore
Midwest Renewable Energy Association
7558 Deer Rd
Custer, WI 54423

Please include the size of your ad in the memo section of the check.

Checks are due within 30 days of purchase.

If paying by card, an MREA representative will follow-up to collect payment via the telephone number listed in this form.

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