You must have JavaScript enabled to use this form. Advertising Reservation Advertiser Information Company Name Contact Name Billing Address City State Zip Phone Number Email Address Advertising Summary Select Ad Types Basic Static or Video - $650/mo Premium Video - $750/mo Ticket Sponsorship - $2,500/per 100K Table Cards - $400/mo Addendum / Custom Package Theater Selection Warehouse Cinemas Frederick Warehouse Cinemas Leitersburg Warehouse Cinemas Rotunda All Locations *Not sure which market to target? Why not try multiple! Advertise at more than one location and enjoy 10% off. Select Months January February March April May June July August September October November December Select all months Billing Summary Payment must be no later than 30 days after receiving invoice via email. Checks should be made payable to HighRock Studios or ACH payment listed on invoice. All advertising renewals and/or cancellations accepted up until the 15th of each month. Billing Preference Monthly Quarterly Annually Purchase Order # (if applicable) Authorized Signature Your Full Name Acceptance of Contract - Please type your initials I agree to the purchase of this ad reservation for the theater specified. Failure to submit my ad artwork and/or video by the submission deadline will result in your video not appearing on the reel for the agreed upon month. No refunds shall be issued for such a circumstance. Your ad deadline will be provided by your sales representative upon signup.