Place an Ad

Please complete the following for to submit your advert. Submission of the form indicates you accept our Terms & Conditions.

All fields marked with an * are compulsory.

I, *
duly authorised to act for and on behalf of "The Client",
Authorisation do herby instruct Hout Bay Advertising CC, trading as The Bay Magazine (the "Bay Magazine") to place a Full Colour advert of the following dimensions and agree to paying the stated amount net of any discount on or before the 20th of the month for the following months issue for the duration of the contract period.

Size of Ad *:

Enter the price as per the rate sheet or agreed upon price from our sales agent.

For a contact period of: *

From the following month:*

Company Name:*

Company VAT Number:

Company Registration Number:*

Company Type:*

Physical Address:*

Telephone Number:

Fax Number:

Cellphone Number:*

Email:*

Name:*

ID Number:*

I accept the Terms & Conditions.