Advertising Form

---

If you would prefer to pay by Check or Purchase Order please contact Info@DyslexiaIDA.org

• Name*
• Email*
• Billing Address*
  Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country
• Company*
• Website*
• Ad Type*
  Web AdEblastPerspectivesExaminer
• Web Ad Desired Location*
  Homepage Slider - 1170 x 400 pxHomepage Middle - 900 x 250 pxHomepage Lower - 450 x 200 px"Do I HaveDyslexia?" Left-hand column - 200 x 200 px"Fact Sheets"Left-hand column - 200 x 200 px"Dyslexia at a Glance" Left-hand column - 200 x 200 px"IDA's Free Webinar Series" Left-hand column - 200 x 200 px"Educator Preparation Program Accreditation" Left-hand column - 200 x 200 px"Frequently AskedQuestions" Left-hand column - 200 x 200 px"In Your Area"Branches/Partners Left-hand column - 200 x 200 px"IDA Bookstore" Left-hand column - 200 x 200 px
• Desired Quarters*
• Eblast Ad Desired Location*
  Premium Ad - 1000 x 500 pxPriority Ad - 1000 x 500 pxStandard Ad - 400 x 400 px
• Quantity*
• Desired Issues*
  Select IssuesOne IssueTwo IssuesThree IssuesFour Issues
• Ad Size - One Issue*
  Full Page, Inside Front 7 ½” x 10”Full Page, Inside Back 7 ½” x 10”Half page, Outside Back 7 ½” x 5”Full Page, Interior 7 ½” x 10”Half Page, Interior 7 ½” x 5”Quarter page, Interior3 ¾” x 5”
• Ad Size - Two Issues*
  Full Page, Inside Front 7 ½” x 10”Full Page, Inside Back 7 ½” x 10”Half page, Outside Back 7 ½” x 5”Full Page, Interior 7 ½” x 10”Half Page, Interior 7 ½” x 5”Quarter page, Interior3 ¾” x 5”
• Ad Size - Three Issues*
  Full Page, Inside Front 7 ½” x 10”Full Page, Inside Back 7 ½” x 10”Half page, Outside Back 7 ½” x 5”Full Page, Interior 7 ½” x 10”Half Page, Interior 7 ½” x 5”Quarter page, Interior3 ¾” x 5”
• Ad Size - Four Issues*
  Full Page, Inside Front 7 ½” x 10”Full Page, Inside Back 7 ½” x 10”Half page, Outside Back 7 ½” x 5”Full Page, Interior 7 ½” x 10”Half Page, Interior 7 ½” x 5”Quarter page, Interior3 ¾” x 5”
• Artwork File
  Accepted file types: jpg, png, Max. file size: 30 MB.
• Total
  $0.00
• Credit Card
  American Express

  Discover

  MasterCard

  Visa

  Supported Credit Cards: American Express, Discover, MasterCard, Visa

  Card Number Month010203040506070809101112 Year20242025202620272028202920302031203220332034203520362037203820392040204120422043 Expiration Date   Security Code Cardholder Name
• CAPTCHA

Δ

---