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  • AdvertisingApplication 2012

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    Jom Jean
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    Advertising Agreement Form Commitment Deadline: January 13, 20112 Payment Deadline: February 15, 2012 Media Receipt Deadline: March 1, 2012 Company Information Please refer to guidelines for complete application requirements. Please make checks payable to the: Pediatric Academic Societies Amount Paid: $ Check Enclosed - Check # Credit Card Card Number: Card Holder Name (print): Card Holder Signature: Send completed form and payment to: PAS Program Advertising, c / o Kathy Cannon, 3400 Research Forest Drive

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    AdvertisingApplication_2012

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    © Attribution Non-Commercial (BY-NC)

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    Advertising Agreement Form Commitment Deadline: January 13, 20112 Payment Deadline: February 15, 2012 Media Receipt Deadline: March 1, 2012 Company Information Please refer to guidelines for complete application requirements. Please make checks payable to the: Pediatric Academic Societies Amount Paid: $ Check Enclosed - Check # Credit Card Card Number: Card Holder Name (print): Card Holder Signature: Send completed form and payment to: PAS Program Advertising, c / o Kathy Cannon, 3400 Research Forest Drive

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    3 views1 page

    AdvertisingApplication 2012

    Uploaded by

    Jom Jean
    Advertising Agreement Form Commitment Deadline: January 13, 20112 Payment Deadline: February 15, 2012 Media Receipt Deadline: March 1, 2012 Company Information Please refer to guidelines for complete application requirements. Please make checks payable to the: Pediatric Academic Societies Amount Paid: $ Check Enclosed - Check # Credit Card Card Number: Card Holder Name (print): Card Holder Signature: Send completed form and payment to: PAS Program Advertising, c / o Kathy Cannon, 3400 Research Forest Drive

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 1

    Advertising Agreement Form

    Commitment Deadline: January 13, 20112 Payment Deadline: February 15, 2012 Media Receipt Deadline: March 1, 2012

    Company Information
    Please refer to guidelines for complete application requirements. Company/Organization Name Company/Organization Representative Name Address City, State, Zip Phone Fax Email Signature of Company/Organization Representative

    Ad Information
    All ads are Full Page

    Desired Placement Desired Placement Ad Dimensions

    Interior Page Front Section $5,500 Full Color Inside Back Cover - $6,500 Full Color Full Page (Bleed): 8 " x 11 " Trim Size: 8 " x 10

    Interior Page Back Section $4,500 Full Color Outside Back Cover - SOLD Full Page (No Bleed): 7 " x 9

    Payment
    Please refer to guidelines for further requirements. Please make checks payable to the: Pediatric Academic Societies Amount Paid: $ Check Enclosed Check # Credit Card Card Number: Card Holder Name (Print): Card Holder Signature: Send completed form and payment to: PAS Program Advertising, c/o Kathy Cannon, 3400 Research Forest Drive, The Woodlands, TX 77381 All artwork and media should be sent to Champions Printing & Publishing, Inc. according to the instructions in the guidelines. All media must be received by Champions Printing & Publishing no later than March 1, 2012. Master Card Visa American Express Expiration Date:

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