AD SPACE RESERVATION REQUEST

Print out form and mail to
HSMAI
PO BOX 40096
Phoenix, AZ 85067-0096
or fax to (602) 240-5553
PLEASE INCLUDE PAYMENT WITH RESERVATION


    _____ I will reserve an ad in the CHAPTER CHATTER newsletter.

    _____ Business card (3¾" x 2")
    _____ Quarter Page (3¾" x 4½")
    _____ Half Page (3¾" x 9½")
    _____ Full Page (8½" x 10")
    _____ Flyer Insert(8½" x 11")

    The month(s) I prefer are (circle):
    Issue:   Artwork Due:
    Jan./Feb.Dec. 15th
    Mar./Apr.Feb. 15th
    May/JuneApril 15th
    July/Aug.June 15th
    Sept./Oct.August 15th
    Nov./Dec.October 15th

    ___ I would like to advertise on the HSMAI website:

      ___ Link (one year)
      ___ Enhanced Listing (one year)

    _____ I will reserve an ad in the Yearbook & Directory:

      _____ Quarter Page (3-3/4" x 4-1/2") B&W
      _____ Quarter Page (3-3/4" x 4-1/2") 4-Color
      _____ Half Page (3-3/4" x 9-1/2") B&W
      _____ Half Page (3-3/4" x 9-1/2") 4-Color

    ___ I would like more information on sponsorship and/or raffle donation opportunities.

    ___ I would like more information on putting a company/business profile in the bi-monthly "Chapter Chatter" newsletter.

NAME: _______________________________________________________

COMPANY: ____________________________________________________

ADDRESS: ____________________________________________________

PHONE: ______________________________________________________

PAYMENT: ___ CHECK ___ VISA ___ MASTERCARD ___ AMERICAN EXPRESS

CARD # __________________________________ EXP _______________

SIGNATURE: __________________________________________________