McKnight's List Form

	For questions call Denise DeVito, at (847) 784-8706 ext. 19, or email denise.devito@mcknights.com
Complete the required information, exactly as it should appear in the McKnight's 2008-2009 Industry Directory. We will abbreviate if necessary.

Company:*	Country:*	U.S. Canada Other
Address:*	Room/Suite/Floor:
City:*	State:*
Phone:* (xxx) xxx-xxxx	Zip:*xxxxx
Fax: (xxx) xxx-xxxx
Contact Name:*
E-mail: name@domain.com
Title:
Company url:* http://www.companyname.com
Product and Service Categories
Please indicate in which category(s) your company's listings should appear. Ordering information on page 2.

ORDERING INFORMATION Every listing included on our Online Industry Directory at www.mcknights.com
PRINT INFORMATION MUST BE RECEIVED BY MAY 15th, 2008
1	1st Basic Listing (only $40)	I want more additional Listing(s) at $80 EACH	Your listing includes:Company name, address, phone and fax number, email and web address and contact name, in print and online for 12 months. Please type in the category # under which your listings should appear: (separate each by a comma)
2	1st Enhanced (only $230)	I want additional Enhanced listing(s)at $180 EACH	Listing includes:bold company name, address, phone and fax number, email and web address, contact person, color company logo and a 50-word description in print and online for 12 months. Descriptive copy about your company (50 words max.): Please type in the category # under which your listings should appear: (separate each by a comma)
3	1st Power (only $450)	I want additional Power listing(s) at $395 EACH	Listing includes:bold red company name, address, phone and fax number, e-mail and web address, contact person, color company logo, color block in print on entire listing and a 100-word description, in print and online for 12 months. Descriptive copy about your company (100 words max.): Please write in the category # under which your listings should appear: (separate each by a comma)
4	1st Color Photo	$60.00 EACH additional	Add a color photo to any listing (approx size 3/4"h x 11/4"w, separate each by a comma):
5	Video Clips	$1000.00 Annually	Thirty second video clip to enhance your online directory advertisements, written by you, produced by us. It will be online for 12 months.
Total Amount

Check here for additional Display advertising information.

1.	Bill my company - address above	2.	VISA	Mastercard	American Express
NOTE: If you have chosen to pay by credit card, we will contact you for your account information.
For additional information please contact Denise DeVito, denise.devito@mcknights.com, (847) 784-8706 ext. 19