November - February = 2¢ each March, April, October = 4¢ each May = 6¢ each June, September = 8¢ each July , August = 10¢ each * Minimum of 10,000; Maximum of 75,000 Business Name* Contact First Name* Contact Last Name* Contact Phone* Amount to Send (10,000 - 75,000) Preferred Dates* January 3 January 10 January 17 January 31 February 7 February 21 March 13 April 10 April 17 April 24 May 8 May 29 June 5 June 12 June 19 July 3 July 10 July 24 August 21 September 4 September 18 September 25 October 2 October 9 October 16 October 30 November 20 November 27 December 4 December 25 By selecting dates and submitting this form you are committing to the selected date(s) and will be billed accordingly. Content is due to D3 2 weeks prior to email blast send date. 12319 Ocean Gateway | Suite 202 | Ocean City, MD 21842 ph.410-213-2400 | fx.410-213-2484 | support@d3corp.com