Advertising Order Form

Package 1 includes:

Package 2 includes:

Your company name
A message (max 50 words) outlining your company's core activity regarding adjuvants and/or formulations
A hypertext link with your company's website

Package 3 includes:

Your company name and logo
A message (max 50 words) outlining your company's core activity regarding adjuvants and/or formulations
A hypertext link with your company's website

With this package your company logo will be advertised for free in every issue of Adjuvants & Formulations


Please fill in your contact details
Company name:*
Contact name:*
Address:*
POST/ZIP code:*
City:*
Country:*
Phone number:*
E-mail address:*
Please fill in your advertisement details
Choose your package:*	Package 1.1 - one year (100 euro)Package 1.2 - two years (160 euro)Package 2.1 - one year (300 euro)Package 2.2 - two years (480 euro)Package 3.1 - one year (750 euro)Package 3.2 - two years (1,200 euro)
A year starts when the advertisement is online
Choose your category:*	Adjuvant producers Adjuvant suppliers Formulators
You can select more than one category without additional costs.
Company name in advertisement:*
Advertisement text:	Your advertisement text:
max 15 words for package 1 and max 50 words for package 2 and 3
Company website:
Hyperlink to your company's website or a specific webpage
Company logo:
Supported file formats: JPG, GIF, EPS and PDF
Copy this code:*

* Marked fields are required

a link to the online advertisement(s),

Click here for examples of the three advertisement packages.

In case you have technical problems with completing the form, please contact webmaster Gert van den Berg.