Display Advertising Order Form

*required

Please Note: If you have artwork, you can send a separate email attachment to kgalster@afm.org

 

Ad Size :

 

Special Instructions:

 

Specify Month(s) for 2010

January
Closing Date: Dec 5
Material Due: Dec 11 		February
Closing Date: Jan 5
Material Due: Jan 15 		March
Closing Date: Feb 4
Material Due: Feb 12 		April
Closing Date: Mar 4
Material Due: Mar 19
               
May
Closing Date: Apr 6
Material Due: Apr 16 		June
Closing Date: May 4
Material Due: May 14 		July
Closing Date: Jun 8
Material Due: Jun 18 		August
Closing Date: Jul 6
Material Due: 16
               
September
Closing Date: Aug 5
Material Due: Aug 20 		October
Closing Date: Sep 7
Material Due: Sep 17 		November
Closing Date: Oct 5
Material Due: Oct 15 		December
Closing Date: Nov 7
Material Due: Nov 17

 

Personal Information

Contact Name*
Company*
Job Title*
  AFM Local#
Address*
Address2*
     
City*
State/Province *
Zip/Postal Code*
 
Country (non US)*
 
Email*
Phone #*
Fax # *
   

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