DM INSIGHTS SUBMISSION

• Your article will be a full page in the printed directory. We will send you a proof for your final approval. Complete all fields as shown.
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• Your Company
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• Company Name*
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• Article Title*Please provide the title you want to use (up to 10 words)
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• Content*Use this space to provide the editorial content or article you are submitting. Up to 1,000 words.
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• Logo & Photos*Attach your logo (and photo if sending)Upload
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• Web Address*www.yourcompany.com
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• Author Contact Details (The person who will be listed as the author)
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• Name*full name
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• Title*
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• (Division)*If different from the mail listing company name
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• Address*Street, Suite, PO Box, Etc
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• City, Prov/State*
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• Postal Code/Zip*add country if outside Canada/USA
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• Main Phone*The number you want prospects to call
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• Toll Free Line*1-XXX-XXX-XXXX
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• Email*a valid email address for the main contact
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• Who Completed the Form
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• Completed By*Name, Title, & Email address
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• ($995.00 plus HST. A receipt for payment will be sent to the person completing this form)
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• Card Type*Pay by credit card

  VisaMastercardAmex
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• Cardholder Name*full name exactly as appears on card
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• Card Number*please enter carefully
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• Expiry Date*xx/xx
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• CVN Number*
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• Comment / Questions
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• Comments*If you would like to request something, or have additional question(s) or instructions.
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• Submit
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SAMPLE OF HOW YOUR ARTICLE WILL APPEAR