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 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 to advertise on the HSMAI website:

      ___ Link (one year)

      ___ Enhanced Listing (one year)

    ___ 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: __________________________________________________