Program Advertisement Form 2011
Program Advertisement Form 2011
Program Advertisements
Please complete the following information:
Full Name:
______________________________________________________________________
Address:
______________________________________________________________________
Phone:
______________________________________________________________________
Email:
______________________________________________________________________
Organization:
______________________________________________________________________
Please
Specify
1st
and
2nd
1.___________________________________________________
choice:
2.___________________________________________________
The prices are as follows and will be sold on a First-Come First-Serve Basis!
Ad
Full Page Ad
Half Page Ad
Size
Full Page
Half Page
Price
$400
$250
All artwork must be submitted by September 30th, 2011 in order to meet printing deadlines.
Please send completed form with payment:
Payments must be received within five business days after confirmation or your space will be made
available to other interested partiesNO EXCEPTIONS.
Businesses cannot contribute via credit card unless the entity is a sole proprietorship. Corporate credit
cards cannot be accepted and must pay by check.
TOTAL ENCLOSED:
$ __________ (Checks payable to the North Carolina Republican Party)
If a business account, is the entity a sole proprietorship or a corporation? Circle one.
Charge my Credit Card:
$ __________