Channel 2 Ad Submission

Winnebago Cooperative
Telecom Association
1-800-592-6105

*If you wish to include an image for your ad, please e-mail it in .bmp or .jpg format to channel2@wctatel.com.

Channel 2 Advertising

First Name:

Last Name:

Billing Address:

City:

State:

Zip Code:

Daytime Telephone :

Start Date:

End Date:

Ad Message:

I will be e-mailing an image for my ad.*

I understand that I will be charged for my ad based on the start and end dates I have requested.