Please Complete This Form and Submit To

Application for Newsletter Advertising

Please complete this form and submit to

Person to be invoiced

Name:

Organisation:

Address:

Phone:

Email:

Contact details to appear in newsletter

As above

Other:
Name:
Email:
Phone:

Newsletter content

Headline:

Content (max 150 words):

Attachments

Logo or image (max 1)
- Attach any items to the email only. Embedded images in pdf/doc or email body will
not be accepted.
- Maximum size is 1200 x 628px.
- Accepted file formats are .jpg or .png.

Flyer/Information Sheet
- Accepted file formats are .doc, .docx, or .pdf.

Web link (max 2 links)
1.
2.

Distribution options (prices below)

Standard newsletters are sent twice monthly and include a variety of original and curated content and paid advertisements.

National standardnewsletter

State standardnewsletter
Please specify state(s):

Dedicated newsletters are sent on an ad hoc basis and feature one content item/promotion only.

National dedicatednewsletter

State dedicatednewsletter
Please specify state(s):

Prices*

Standard
newsletter / Dedicated newsletter
National (all members) / $500 / $1,000
ACT / $20 / $40
NSW / $150 / $300
NT / $20 / $40
QLD / $150 / $300
SA / $40 / $80
TAS / $20 / $40
VIC / $100 / $200
WA / $60 / $120

*Price includes the same content repeated in a second newsletter for free!

Date nomination

Please note that while you may nominate a date for your newsletter to be distributed, the exact date will be chosen by the ACM. The date of distribution is dependent on space availability. If it is not distributed on your nominated date, we will try to get it as close to that date as possible.

Newsletter #1 date:

Newsletter #2 date:

Submit application

Please submit application by email to .

Please allow 2-5 business days for processing and allocation.

Payment

Payment is to be made in advance of the newsletter’s distribution.

VISAMasterCard

Electronic Funds Transfer
When selecting this option, you will be invoiced first

Account Name: Aust College of Midwives
BSB: 062-901Account No: 10134702
Note: If paying by EFT please include ‘Newsletter’ and your company name in the reference field so we can allocate your payment.

Amount:

Card Number: CVC: Expiry Date:

Cardholder’s Name:

Approval to charge credit card by:

Date:

Payment for:

Advertiser Agreement

I, (name) of (organisation) understand that:

• I will be provided with an invoice to be paid prior to distribution of my newsletter.
• The fee covers the inclusion of my content in TWO newsletters, at intervals of my nomination.
• The Australian College of Midwives reserves the right to decline this service if the content is deemed not to comply with ACM philosophy and core values.

(initial)(date)

1