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2016 MIDWESTERN REGIONAL CONFERENCE

State of the Black Health: Living Well in the 21st Century
AUGUST 5 7, 2016
EMBASSY SUITES COLUMBUS
2886 Airport Drive
Columbus, Ohio

Active
Lifestyle

Black Health

Advertisement Form


Ad Type

Specific Size

Rate

Quantity

Total

FULL PAGE (Color)

FULL PAGE (B&W)
HALF PAGE (Color)
HALF PAGE (B&W)
HALF PAGE (B&W)
HALF PAGE (Color)

7.5 x 10
7.5 x 10
7.5 x 4.5 (vertical)
4.5 x 7.5 (horizontal)
7.5 x 4.5 (vertical)
4.5 x 7.5 (horizontal)

$150
$100
$75
$50
$50
$75

$
$
$
$
$
$

Please send your AD in JPEG or Tiff format to 2016MWRChair@gmail.com

Deadline July 15, 2016

Company/Organization Name: _________________________________________________________

Contact Name: ______________________________________________________________________
Mailing Address: ___________________________________________________________________
City: _______________________________ State: _______ Zip Code: _______________________
Email Address: ____________________________________________________________________
Please select the form of payment:

Business Check_____ Cashiers Check_____ Money Order_____

TOTAL AMOUNT ENCLOSED: $__________________________________

Make your check or money order payable to: National Black Deaf Advocates (NBDA)
On the memo line of your check, please write: 2016 Midwestern Regional Conference-BBDA
Mail this form with your business check, check or money order to:
2016 Midwestern Regional Conference Advertisement
201 Wilcrest Dr. #1401
Houston, TX 77042
Attn: Betty Henderson, NBDA Treasurer
THANK YOU FOR YOUR GENEROUS SUPPORT OF THE 2016 MIDWESTERN REGIONAL CONFERENCE!!