Website advertising-form

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ARTBA Website Advertising Form

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Website advertising-form

  1. 1. Advertising Information ADVERTISER: CONTACT/AGENCY: ADDRESS: CITY: STATE: ZIP CODE: PHONE: FAX: EMAIL: WEBSITE: APPROVAL SIGNATURE: Online Advertising Options Section of ARTBA Website: ARTBA Store Home Page Advocacy Section Main Page Economics & Research Main Page Safety Section Main Page Digital ARTBA Washington Newsline Month(s) to appear on website (please circle): Jan. Feb. Mar. April May June July Aug. Sept. Oct. Nov. Dec. Payment PAYMENT OPTIONS (CHECK ONE): CHECK ENCLOSED BILL ME BILL MY: VISA MASTERCARD AMERICAN EXPRESS CREDIT CARD #: EXPIRATION DATE: SECURITY CODE: NAME ON CARD: SIGNATURE: TOTAL DUE: Return this completed form to Peter Embrey at pembrey@artba.org. For more information, contact ARTBA’s Peter Embrey at 202.289.4434 or pembrey@artba.org. 1219 28th Street N.W. Washington, DC 20007 T: 202.289.4434 F: 202.289.4435 www.artba.org WEBSITE ADVERTISING INSERTION ORDER FORM

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