Request for Advertising Form by MaryJeanMenintigar

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									                        THE UNIVERSITY OF TEXAS AT BROWNSVILLE AND TEXAS SOUTHMOST COLLEGE
                                          Advertising Request Form
                                                   Office of News and Information
                                                 Phone: (956) 882-8231     Fax: (956) 882-3869


Please Type

Date:

Requestor:                                                               Department:

Phone:                                    Fax:                                E-Mail:

Check ONLY One:              Newspaper       Magazine              TV       Radio          Other (Please Specify)

* All Newspaper Advertising Request Forms, and the creative brief, must be submitted to our office at least
  two weeks prior to publication date.

Where would you like to advertise? Check all that apply:

         The Brownsville Herald                    The Bargain Book                        El Bravo Newspaper
         The Valley Morning Star                   Los Fresnos News                        The Collegian
         The McAllen Monitor                       Island Breeze                           Other (Please Specify)
         San Benito News                           Mid-Valley Town Crier
         Port Isabel Press                         The Raymondville Chronicle

Preferred Date(s) to run Ad(s):




Special Instructions:




   I, ____________________________________________ the account manager, authorize advertising costs to be charged to account

   # __ __ - __ - __ - __ __ __ __ __ __ - 7281, account name ________________________________________________. I understand

   that these charges will be for the requested advertising only, and will be credited to account # 12-5-1-103030-7281.


   Signatures
                                                                                        For News and Information Office Use Only

   1. Account Manager                                        Date                       Amount to Charge Dept. $

                                                                                        Advertised Copy Attached

   2. Account Manager, News and Information                  Date                       Invoice #

                                                                                        Date sent to Business Office



   Ad #:                                  For News and Information Office Use Only

   Ad Tag:

                     Publication                           Ad Size                  Date(s) to Run Ad(s)                   Estimated Cost




   Prepared by:                                                                                ESTIMATED TOTAL:        $


   Revised November 2005

								
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