12020 VMDAEC Annual Meeting sheet

2021 Membership Directory - Advertising Insertion Order

RETURNING ADVERTISER/NEW MEMBER DISCOUNT

Please check your desired ad size and cost:*
- Full Page Ad @ $900
- Half Page Ad @ $700
COMPANY NAME:*
AD AGENCY (IF APPLICABLE):

(No Agency Discounts Allowed)
Address (NO PO BOXES PLEASE)*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
CONTACT PERSON*
First Last
Email*
Phone*
PLEASE NOTE ANY SPECIAL INSTRUCTIONS BELOW:
I would like additional copies of the 2021 directory @ $20 EACH*
Enter the number of copies needed
Authorized by*

Enter name
*
by checking this box this stands as my authorization signature to submit an ad for 2021 Membership Directory. I have authorized the payment submitted below or agree to submit payment by mail as stated.
Please pay by:*
- Check/Money Order
- Credit Card/Paypal
Please mail check or money order to: 2021 Directory/Amanda Cunningham VMDAEC P.O. Box 2340 Glen Allen, VA 23058-2340
Subtotal:
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Subtotal:
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Total
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