Sample Wire Press Release Order « Serious Play Conference

News/PR Release Order Form:

Company/Affiliation Initiating Order: *

Please supply name as you want it to appear in the program.

Contact Person First Name *

Contact Person Last Name *

Title: *

Email: *

Work Phone: *

Cell Phone: *

Payment Method: *

PayPal (credit card can be used)

Invoice us via email for later payment by Company PayPal or by Company Check

Sue Bohle
Serious Play Wire
3435 Ocean Park Blvd.
Suite 107-871
Santa Monica, CA 90405-3301
Payment by check may delay distribution.

If invoice by Paypal, Paypal request should be sent to (your Paypal email address)

I will need:

Invoice

Confirmation Receipt

Please Invoice Me for:

Press Release/News Item:

Number @ $200 Each

Total PR

Custom Email Marketing Campaign:

$50/1000 emails

# for 1000

Marketing Campaign Total:

Grand Total:

If you have any questions on this form, contact Kyle Taylor: Kyle@seriousplaywire.com