ES&E Request for Listing - On-Line Trade Directory

Only fully completed forms can be processed.
Publisher reserves the right to determine qualification.

On-line Trade Directory Listings are a paid advertising service
of Environmental Science & Engineering.

Listing includes name, address, phone, fax, contact, hot-linked e-mail, URL, 50 word description, and logo (60x60 pixel).
Cost is $250 + GST for a 12-month period.
Please fill out the information sheet below, print it out and include it with your cheque.
Cheques are payable to Environmental Science & Engineering Magazine, 30-220 Industrial Parkway South, Aurora, ON, L4V 3V6
VISA or Mastercard payment is also accepted. Please call for details (905)727-4666

Note: Customer to supply logo in GIF format,
maximum dimensions - 60 pixels wide, 60 pixels high,
maximum file size - 5k
Please send logo file by e-mail to steve@esemag.com

Request for Listing in On-Line Trade Directory PLEASE ANSWER ALL OF THE FOLLOWING QUESTIONS
Requested By:
E-mail
Name
Title
Telephone
On-Line Trade Directory Listing Requested For:
Company Name
Street
City
State/Province
Country
Zip/Postal Code
Telephone
Fax
E-Mail
URL (website address)
Contact
Description
Product/Service Categories (required)

Thank you for advertising with www.esemag.com and Environmental Science & Engineering Magazine.
Please allow 2-3 weeks for processing