Corporate Order Form

Your Details

Title

First Name

Last Name

Organisation

Website

Telephone

Fax

Email for invoice

Address

City

State

Postcode

Country

Click here if your billing details are different to those listed above

Hide Billing Address

Billing Address

Billing City

Billing State

Billing Postcode

Billing Country

Order Details

ABN (if in Australia)

Purchase Order number (if needed):

Are you renewing a currently active EdMedia campaign?

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Please send my invoice via:

Email Fax Post

Are you completing this form yourself?

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Which EdMedia representative introduced you?

Comments or requests

Package Details

Package

Exclusive Global Premium Global Global Exclusive National Premium National National

Duration

12mths
12mths
12mths
12mths
12mths
12mths

Impressions

3.2 million
1.6 million
800,000
800,000
400,000
200,000

Exclusive Listing

Yes
No
No
Yes
No
No

Text Listing

300 words
150 words
150 words
300 words
150 words
150 words

Price (AU)

22,000
16,000
10,000
9,500
5,500
3,000

Expose your product or service to a wider audience by listing in more than one sub-category

Sub-Categories

one sub-category = 0% surcharge 2 Sub-categories = 20% surcharge 3 Sub-categories = 30% surcharge 4 Sub-categories = 40% surcharge 5 Sub-categories = 50% surcharge

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