2017 Conference Program Ad Reservation Form

PHW 2017 Annual National Conference Program Ad Reservation Form Contact Name____________________________________________...

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PHW 2017 Annual National Conference Program Ad Reservation Form Contact Name_________________________________________________________ Title__________________________________________________________________ Organization__________________________________________________________ Phone Number_____________________________ E Mail_______________________ Address_______________________________________________________________ City____________________________ State_______

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Zip______________

Size of Ad (circle one):

Full Page Color ad on Inside Front or Back Cover

$750.00

Size: Bleed 5.625” W x 8.625” H No Bleed 5”W x 8”H

Full Page Color Display

$695.00

Size: Bleed 5.625” W x 8.625” H No Bleed 5”W x 8”H

Half Page Color Display

$350.00

Size: 5”W x 4”H

Quarter Page Color Display Size: 2.4”W x 3.875”H (no bleed)

$195.00

Memorial and In Honor Of Size: 2.4”W x 3.875”H (no bleed)

$100.00 (for PHW Members $150.00 (for non-members)

Business Card Size

$ 50.00

Size: 2” x 3”

Total Amount Due: $___________ Please make check payable to Parent Heart Watch and mail to: Parent Heart Watch, 7047 Germantown Avenue, Ste 205, Philadelphia, PA 19119

Return this form to reserve your space today! Deadline is Oct. 14, 2016 Fax to 888-669-4924 E-mail to [email protected]