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Business Intake Form

Thanks for booking with The Neighborhood Gazette. This 5-minute form gives us everything we need to design, proof, and ship your ad. You'll get a proof to approve before anything goes to the printer.

Order Reference

Business name

Owner / primary contact full name

Best phone number

Best email

Business website

Business street address

Used for our records and for category-exclusivity verification by town.

Years in business

Business organization type

Helps us address billing receipts and any 1099 paperwork correctly.

Business EIN or sole-prop SSN last 4

Optional. Some advertisers want this on file for invoicing/W-9 purposes.
This section drives the category-exclusivity lock. The sub-category you pick is what gets locked per town, per issue. One business per sub-category per town per print run — that's how we protect you from waking up to a competitor's ad in the same mailer.

Primary industry

Specific sub-category

Category Exclusivity Acknowledgement

Category Exclusivity Acknowledgement

First-Come, First-Served Lock Acknowledgement

First-Come, First-Served Lock Acknowledgement

State

Towns selected

Towns selected
Each town = 2,500 homes per print run. Multiple towns? You can spread your prints across them.

Number of prints purchased

Product type

Product type

Cadence preference

Roll-over acknowledgement

Roll-over acknowledgement

Logo

Highest resolution you have. Vector preferred (.ai .eps .svg .pdf). If you only have it on your website, paste the URL below and we'll pull it.

Logo URL fallback

Photos / images for the ad

Pictures of your team, storefront, work samples, products. Higher resolution = sharper print.

Brand colors

Hex codes if you know them (e.g. #0066CC) — otherwise just describe ('navy blue and gold').

Do you have an existing ad design we should match?

Do you have an existing ad design we should match?
A
B

Headline

The big bold line. What's the offer or hook? Examples: '$49 AC Tune-Up', 'New Patient Special — Free X-Ray', 'Voted Best Pizza in Voorhees'.

Sub-headline

Body copy

What you do, who you serve, why they should call. Keep it tight — print is short attention span.

Phone to call

Website to display

Social handles to display

@instagram, @facebook, etc. We'll add icons.

Special offer / coupon

If you want a trackable offer, give us the code or terms. Example: 'Mention the Gazette for 15% off — expires 60 days from receipt.'

Disclaimers / legal text required

Required for medical, legal, financial, real estate, etc. Paste any required disclosure language.
Founding Advertiser Add-Ons
Show only if is_founding_advertiser = true from Stripe metadata.

Founding Advertiser Profile

Founding Advertiser Web Article

Permission to interview owner for the bio?

Permission to interview owner for the bio?
A
B

Opt in to monthly Front-Page Spotlight lottery?

Opt in to monthly Front-Page Spotlight lottery?
A
B
One advertiser per town per month wins the front-page editorial spotlight (full feature article, photo, premium placement). Drawing is random among opted-in advertisers in that town. Free to enter — no extra cost. You can win once per 12 months per town.

Who approves the proof?

Who approves the proof?
A
B

Alternate approver name

Alternate approver email

Proof turnaround acknowledgement

Proof turnaround acknowledgement
Final Acknowledgements

Terms of Service & Ad Standards

Terms of Service & Ad Standards

Communication preference

Communication preference

How did you hear about us?

Anything else we should know?