Issue link: http://psai.uberflip.com/i/857947
PSAI Industry Resource Directory ADVERTISING REQUEST FORM Suppliers: use this form to reserve your pages! This form may be faxed, scanned, or mailed to the PSAI office. Advertising space fee(s) and artwork must be received at the PSAI office no later than December 18, 2017 to avoid rush charges. NO ads will be accepted after January 17, 2018. Platinum Gold Silver Bronze Nonmember 4 2 0 0 0 $1,000 $1,063 $1,125 $1,250 $1,625 Membership Level Complimentary Full Pages Full Page Ad Please print your company's name below exactly as you would like it to appear in the IRD. If your organization will be advertising under multiple brands/names, use a separate form for each. Company Name: _________________________________________________________________________ Complimentary Pages: ________ Purchased Full Pages: ________ Purchased Half Pages: ________ Ad Contact Person: _______________________________________________________________________ Address: ______________________________________________ City: _____________________________ State/Province: ____________________________________ Zip/Postal Code: ______________________ Ad Contact Email: ________________________________________________________________________ Total Amount Due: _____________________ *Please call the PSAI office if you need assistance determining your total My check is enclosed OR please charge total amount to: ___ VISA ___ MASTERCARD ___ AMEX Cardholder Signature: ___________________________________________________________________________________ Cardholder Name (Please Print): __________________________________________________________________________ Card Number: ________________________________________________ Exp. Date: ________________ CSC: __________ Disclaimer: PSAI reserves the right, without liability, to reject, omit or exclude any advertisement for any reason at any time, whether or not such advertise- ment was previously acknowledged, accepted, or published. Advertiser/agency shall not submit advertising to PSAI that is discriminatory because of sex, race, religion, color, national origin, sexual orientation, gender identity, age, physical handicap or other improper basis, or advertising that contains derogatory comments about the advertiser's competitors or about the competitor's organization, products, systems or services. Advertiser is responsible for securing the rights to publish images included in ads submitted. 9 Half Page Ad w/ Purchase of Full Page Ad $560 $595 $630 $700 $910 Half Page Ad N/A N/A $810 $900 $1,170 AFTER DECEMBER 18, 2017 RUSH FEES WILL BE APPLIED TO ALL ADS Ads will not be placed in the IRD without full payment OR past the final rush deadline.