Please complete all sections so we can provide you the appropriate information.

• What type of advertising/marketing needs do you have?
Please select one Print advertising Online advertising Event Promotion Marketing consulting Other/more than one

• Briefly describe the product, service or event you are wanting to promote:

•What is your time frame?
Please select one Next issue/immediate 2-5 months 6-12 months

• Please select the option that best describes your business:
Full time practice or service Part time practice or service Contractor in an existing business or practice Full time product sales Part time product sales Online sales / services Other (explain below)

• If you selected "Other" above, please explain:

• Contact information (items in bold are required):

Your Name:   
Telephone:  
Best time to call: 
Business Name: 
Street Address:  
City: 
Zip Code:


Your website URL (if you have one):

Email:  

• Other comments/questions:

• What led you to us? (please select one) : Please select one I picked up your Natural Awakenings locally I receive your monthly email newsletter I carry Natural Awakenings each month in my business/practice Someone referred me to you I saw it on your website I have advertised with you before Other
If you picked our magazine up locally, or your response was "Other," please give us the business name where you pick up NA, or describe "Other":

Answer the security question below then press the "Submit" button below to send us your inquiry).

One of our representatives will contact you to discuss your needs in greater detail and provide the information you need to plan a program that gives you a return on your marketing and promotional investment.

Thank you!
Natural Awakenings of East Michigan