Business Name: ______________________________________

Your Name: _________________________________________

Mailing Address: ________________________________________________

Phone Number: ______________________

Email: ____________________________

Ad Size:

1/8 page ($50)     1/4 page ($100)     1/2 page ($200)

full page and fence banner ($500)


Payment:

check enclosed    please bill me



Make sure you include your business card or appropriately sized graphic based on our sponsor's guide to advertising in our program. 


If this form is received with payment prior to July 20th, 2005, you will receive two VIP passes worth two FREE CARLOADS into Mindfest for camping and extended enjoyment.

Please make checks payable to Mind Mined Productions.

Send to:

Mind Mined Productions
PO Box 778
Alton, NH 03809