Faces of Female Business Leaders - Client Informational Form

Name*

First Last

Contact Email*

Company Name (Exactly how it should appear when published):*

City, State*

Phone Number*

Website*

Please answer the questions below, and we'll weave your answers together into the body copy for your profile. Since your profile is part of a cohesive, formatted section, your answers will be edited for section standards and Boston magazine style guidelines. For full-page advertisers, please answer all of the questions. For half-page advertisers, choose TWO.*

I am running a full page advertisement and will answer all of the below questions.
I am running a half page advertisement and will answer TWO of the below questions.

Question 1: When was your company founded, and how has it evolved to where it is today?

0 of 500 max characters

Question 2: What inspired you to go into this field/start your own business?

0 of 300 max characters

Question 3: Who inspires you? What are your influences?

0 of 300 max characters

Question 4: Why Boston? Why is location important?

0 of 300 max characters

Question 5 (optional): Is there anything you want to make sure we mention or highlight?

0 of 300 max characters

Please select a desired date for your photo shoot:

If you have already spoken with the photographer and have scheduled a shoot, please skip this section. (Please note: All makeup and wardrobe should be done prior to the photo shoot time slot. All subjects in the photo should be ready for the photo shoot when the photographer arrives.)

Please select a desired time for your photo shoot:

If you have already spoken with the photographer and have scheduled a shoot, please skip this section. (Please note: A time should be provided in which you have a window of 45 minutes either before or after the time selected.)

:

If you need to schedule a photo shoot, please select a desired location:

If you have already spoken with the photographer and have scheduled a shoot, please skip this section.

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

NOTE: A cancellation less than 24 hours prior to your scheduled photo shoot will incur a $300 cancellation fee. Only 1 photo may be selected and that will be the photo used in your advertisement. Each advertiser is entitled to one round of photo retouches. Additional retouching will incur fees.*

I understand and agree to the above terms.

Photo Usage*

Yes, I want to receive the rights to one (1) photo to use outside of Boston magazine (an additional $250 fee will be applied).
No, I do not want to receive the rights to one (1) photo. I understand that I do not own the rights to it and this photo may only be used for advertisement purposes within Metrocorp, INC branded publications.

I acknowledge that my ad includes 2 rounds of design/copy revisions and any additional revisions will incur a fee.*

I understand and agree to the above terms.

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Faces of Female Business Leaders – Client Informational Form