Publisher Application

(Please note that we require minimum traffic of 50,000 monthly uniques.)

Please respond to the following questions to the best of your knowledge. A NaturalPath Media respresentative will be in touch with you shortly.

Thank you,

The NaturalPath Media Team

Name: *

Title, Department: *

Address:

Phone: *

Fax:

Email: *

Website Name: *

Website URL: *

Website Description: *

Please provide a brief description of your website in 1-5 sentences.

Monthly Page Views: *

Monthly Unique Visitors: *

How many ad impressions per month do you plan on making available to NaturalPath Media?:

Which ABOVE THE FOLD Ad Sizes Can Your Site Accommodate?:

Leaderboard (728x90)

Tower (160x600)

Medium Rectangle (300x250)

Additional ABOVE THE FOLD ad sizes:

Please list additional above the fold ad sizes your site can accommodate here.

Which BELOW THE FOLD Ad Sizes Can Your Site Accommodate?:

Leaderboard (728x90)

Tower (160x600)

Medium Rectangle (300x250)

Additional BELOW THE FOLD ad sizes:

Please list additional below the fold ad sizes your site can accommodate here.

Internal CPM Rate:

Do you have a newsletter?:

Yes

If yes, how often do you send your newsletter? What is its circulation?:

Is there anything else you would like us to know?:

Publishers