METROPOLITAN POLICE DEPARTMENT FIFTH DISTRICT CITIZENS ADVISORY COUNCIL

Annual Awards Banquet

October 24, 2013

Advertisement Purchase Agreement

Advertisement Level
(Please check one)

Full Page .$100.00 One-Half Page.....60.00 Sponsors List..30.00 Patrons List....20.00 Friend...Under 20.00

____________________________________________________
Name of Individual, Company or Organization

Signature and Printed Name of Authorized Official

Address

Telephone

Deadline for Advertisement: Please submit a camera-ready copy of your advertisement, your check, and this form as soon as possible, but no later than Monday, October 10, 2013. Mail advertisement and payment to: FRANCES PENN, CHAIRPERSON, 5D CAC c/o FIFTH DISTRICT CITIZENS ADVISORY COUNCIL P.O. BOX 90436 WASHINGTON, DC 20090