Purchase Order Number: (Will match invoice number. If you have not been given one, call us at 1-859-413-0224 and we will give you one). This will take 2 minutes. *
Primary Contact Name (Person Purchasing Ad/s) *
Your Professional Title (Your position with the business - Owner, General Manager, Marketer, Etc) *
Business Name ( What people know your business as / Your DBA): *
Business Type (What is the main niche or industry, or what does your business primarily do or sell?): *
What county will your ad be placed in? * Pike County
Business Email Address:
Alternative Email Address:
Business Phone (Landline):
Business Phone (Mobile):
Is there another person whom we are permitted to discuss your billing information or ad design specifications with?
* If you have opted to grant billing or ad design specifications permissions to another person or persons, please provide any names and/or additional phone numbers that we may call to reach them.
Which ad size/package are you interested in? If you are placing more than one ad with us, please submit a second ad specification form. You will recieve an individual invoices for multiple purchases as well. For assistance with this, please call us at 1-859-413-0224 any time.
* Do you already have an ad design that you plan to use? Please understand that we are happy to use premade ads, however we have to make sure they fit the size that you have selected. We can edit the ad to fit, but it may result in minor variations in your ads and it's features. We will be happy to assist you with this. If you would like to design your ad on your own, you can design it for free at http://www.canva.com. Additionally, we will be happy to design your ad for free if you prefer to opt-in for this option. Supported formats are PNG, JPG, and PDF.
* OPTIONAL - If you have a design that you would like us to use or imitate, please upload a sample file here * OPTIONAL - What is the primary goal of your ad?For example: drive website traffic, promote an event, increase sales, etc.
What is the main message, slogan, or tagline for your ad?Provide the text that will appear as the main focus of your ad. Please be advised the size of your ad will greatly impact the readability of your ad. Although you will get to approve your ad before it moves forward to print, be advised that the less wording you choose to use, the clearer your message will show on the ad. For this reason your TAGLINE or MESSAGE is limited (based on your ad size) to the following word count limit:
1"x3" Tag ad - 15 word limit
2"x3" Basic Ad - 15 word limit
3"x3" Standard Ad - 25 word limit
4"x3" Premium Ad - 50 word limit
Custom Ad - Up to 9"x12" - 100+ word count limit
* OPTIONAL: What style or tone do you want for your ad? If you are providing your own ad, you may skip this question. Check all that apply.
Professional and Corporate Clean, polished, and authoritative tone—ideal for formal businesses. Fun and Playful Lighthearted, colorful, and engaging—perfect for family-friendly or casual businesses. Bold and Eye-Catching Bright, high-impact designs with strong calls to action. Minimalist and Modern Simple, sleek, and elegant—focused on clean lines and clarity. Warm and Inviting Friendly, approachable, and comforting tone—great for local or community-focused businesses. Luxury and Upscale Sophisticated and refined, targeting premium audiences. Quirky and Creative Unique, offbeat, and unconventional for businesses that want to stand out. Urgent and Time-Sensitive Focused on promotions, discounts, and calls-to-action with time limits. Trustworthy and Dependable Reassuring and focused on reliability—common for service-based businesses. Local and Community-Focused Emphasizing hometown pride and a connection to local customers. Adventurous and Exciting Perfect for travel, outdoor, or experiential businesses. Seasonal or Thematic Holiday-focused, seasonal styles (e.g., Valentine’s Day, Tax Season, etc.). Vintage or Retro Old-school design and tone for businesses looking to evoke nostalgia. Youthful and Trendy Targeted toward younger audiences, featuring bold colors and modern slang. Inspirational and Motivational Focused on empowerment and positivity—good for health, fitness, or self-help businesses. Other (Specify):
Any specific offers, deals, or promotions to include? Mention discounts, sales, or limited-time offers.
Any specific colors or themes to include?Specify brand colors, seasonal themes, or design ideas. Also provide preferred color codes if you have those available
Include your business logo? Please note: This option is not available for Tag Ads. We do not design logos. Yes No
OPTIONAL: Upload an image of your logo. Supported file formats are JPG, PNG, and PDF If you selected Other on the previous question, feel free to add any notes or preferences for us to consider when designing your ad.
OPTIONAL FEATURES: Please note that If you are purchasing a 1"x3" Tag Ad, Your options are limited to a solid white background, Business Name, Business Type, Tagline of up to 15 words, location, and phone number. If this is the ad you are choosing, please select "I am purchasing a Tag Ad" from the features list below. All features are available for ALL othe ad sizes as long as your ad space allows for it. Please select all that apply.
* Are there any images or specific elements you want included? Describe additional images or elements you'd like in the ad. Also you may upload them using the provided attachment fields below. Yes No
If you selected Yes to adding additional imagery, please upload them here. If you selected Yes to adding additional imagery, please upload them here. If you selected Yes to adding additional imagery, please upload them here. If you selected Yes to adding additional imagery, please upload them here. If you selected Yes to adding additional imagery, please upload them here. If you have selected a full color background (no image) please describe the color/s you would like us to use. You can additionally give us the color codes that you would like us to use.
If your business is active on social medias and you have opted to include your socila media icons on your ad, please select the social medias that you are on. Select all that apply.
If you selected OTHER Social Medias, please list them here:
If you have opted to include a scannable QR code, please provide your business' website or social media URL and the color that you wish for your QR code to be.
If you have opted to include a banner on your ad, please tell us what you would like for it to say:
If you would like us to add a promo code, coupon or discount of any kind, please let us know what propmotion you are running and we will create your ad with this information highlighted:
Are there any elements you want us to avoid?Mention anything you prefer NOT to include.
Would you like to review a preview before the ad is finalized? * Yes No
If you would like to opt in to review your ad before it goes to print, how should we contact you to request ad approval? NOTE: You must be able to recieve images at your preferred method. Check all that apply. We will attempt to contact you on all contact methods selected for ad design approval.
* How did you hear about us? This is optional, but it will help us in reaching other businesses that could benefit from our services. We greatly appreciate your feedback. Thank you.
I have read and agree to the Terms and Conditions as outlined on our Terms and Conditions page on our website. I understand that by selecting Yes, I understand that this is a legally binding agreement. Our Terms And Conditions page can be found at: https://bizblasterclassifieds.com/Terms-And-Conditions . I agree that by selecting YES from the dropdown list under this question, that it serves as a legally binding signature of my participation in this agreement and I am legally obligated to adhere to any and all details contained within this agreement. * Yes No