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TV Ad for Clubs and Teachers

Fields marked * are required

Date Requested : 05-19-2013

TV Ads

Select a TV Ad * --Select-- Baby Boomer 15 Seconds Baby Boomer 30 Seconds

Contact Information

Name *
Club Name (if applicable)
Club Number (if applicable)
ACBL Member No. *
Phone No. *
Email *

Media Buy Information

City(s)/State(s) where you want this TV Ad to be aired
City
State/Province	--Select-- Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Nova Scotia Ontario Prince Edward Island Quebec Saskatchewan Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
Additional City
Additional State/Province	--Select-- --Select-- Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Nova Scotia Ontario Prince Edward Island Quebec Saskatchewan Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
Dates and Times to Run the TV Ad (if no preference, recommendations will be provided to you)
Date/Date Range (ex. June 1, 2012 or for date range - June 1 - 21, 2012)
Time you desire TV Ad to Run : (be sure to designate a.m. or p.m )
Your Club/Bridge class name to be used in TV Ad Tag Line *
Phone Number to be used in TV Ad Tag Line *
TV Stations Preferred (if no preference, recommendation will be submitted)
Planning Budget: $	(Ex: 1000.00 )
Payment Options (If payment is made by invoice, must be paid in full prior to air time) * .	Visa Invoice
Additional Notes:
Type the word (Leave no spaces between the letters)