USPSA Magazine Ad Space Reservation Form

Please carefully read our Advertising and Media Kit found here:

2025 USPSA Magazine Media Kit

This will contain all the information required to fill out this form.
Which issues will you be advertising in?*

Annual EditionJan / FebMar / AprMay / JunJuly / AugSept / OctNov/ Dec
Size of Advertisement*
Advertisement Rate:
Company Name*
Company Representative*

First NameLast Name
Email*
example@example.com
Contact Phone Number*
Please enter a valid phone number.
Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Should invoices be sent to the same email and address as above?*

Yes, billing information is above.No, please send invoices to a different email or address.
Billing Contact

First NameLast Name
Billing Phone
Please enter a valid phone number.
Billing Email
example@example.com
Billing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Are you an Ad Agency filling out this form on behalf of above advertiser?*

YesNo
Ad Agency
The above information is for the purpose of obtaining services and/or credit and is warranted to be true. I agree to pay all charges in accordance with the terms of sale as specified on the invoices and further agree that any past due balance may be subject to a 1-1/2% per month (18% per annum) service charge on any unpaid portion. In the event my account is referred to an attorney for collection I promise and agree to pay Seller's attorney's fees and collection costs, even though no suit or action is filed. However, if a suit or action is filed, the amount of such reasonable attorney's fees shall be fixed by the court or courts in which the suit or action, including any appeal therein, is heard, tried or decided. It is agreed that venue is in the state of Washington. Signature hereby authorizes credit investigation. I further agree to the conditions stated below with regard to any full-page 4/color ad.

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