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Prospective Attendee Preshow E-mail Advertisement Order

Fields with an * are required.

Booth Number*
Company Name*
Contact*
Phone*
E-mail*  

Advertising Agency (if applicable):
If your advertising agency will be the main point of contact for your advertisement, please include the following information along with your order.

My advertisement information will come from the following agency:
Advertising Agency Name
Agency Contact Name
Phone
E-mail
Banner Ad Media Page
February 25, 2010 Newsletter
March 4, 2010 Newsletter
March 11, 2010 Newsletter
March 25, 2010 Newsletter

Location of all other ads will be determined by the order in which completed contracts and payment are received.

Materials:
I will submit my company's advertisement (meeting the specifications required) by the deadline associated with my order.

Materials due:
  • February 19, 2010 for February 25, 2010 e-mail
  • February 26, 2010 for March 4, 2010 e-mail
  • March 5, 2010 for March 11, 2010 e-mail
  • March 19, 2010 for March 25, 2010 e-mail
Send materials to:
  Paula Nathan
IPC
3000 Lakeside Drive, Suite 309 S
Bannockburn, IL 60015-1249
Phone: +1 847-597-2875
E-mail: PaulaNathan@ipc.org

Method of Payment

I am paying by check
Make check payable to IPC and mail to the lock box address below:
IPC
3491 Eagle Way
Chicago, IL 60678-1349
Bill my credit card*
   
Card Number:*
Exp Date:*
Security Code:*
Cardholder Name:*
Cardholder
Area Code/Phone Number:*
*   I have read, understood and accept the stated Ad Terms and Specifications and authorize IPC to execute this accordingly.