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Ad Insertion Order Form
Please complete all information requested below and click "submit'' to email the form to AvScholars, or print the form and mail it to us. Be sure to review the Advertising Terms and Conditions that are part of the Insertion Order. Your ad banner(s) will be published on receipt of payment via Visa or Mastercard or by business check (or by other agreement). Use the "Special Instructions" box to let us know if you have special placement needs, or are purchasing multiple ad placements.

Required fields *

Billing Information
Advertiser Name:*
Billing Address 1:*
Address 2:
City:*
State/Province:*
ZIP/Postal Code:*
Country:*
Phone:*
Fax:
Website URL:
 
Contact Full Name:*
Contact E-mail:*
Contact Phone:*
Contact Fax:*

Channel Advertising Options
Select the channel(s) you want your banner ad displayed.

ChannelOutreach SectorsAdditional Resource Channels
Careers in Aviation
College Preparation
Learn to Fly
Pay for School
Pay for Flight Training
Employment Opportunities
Kids/Youth
[  ] Minorities
(see Diversity Advertising)
[  ] Women
(see Diversity Advertising)
Parents
Educators
Aviation Pioneers
Government Agencies
Military Services

Ad Start Date (MM/DD/YY): //

Ad Duration and Costs:

Total Cost of Ad Campaign: $
Multiply the number of channels your ad will appear times the ad duration/cost for the total cost.

Click-thru-URL:
Alternate Text:
Banner filename:
Upload Image:
(Type location and name of image file on your computer or click button.)
Special Instructions:
 

Diversity Recruitment Advertising
Select the sector(s) you want your banner ad displayed.

Minorities
Women

Ad Start Date (MM/DD/YY): //

Ad Duration and Costs:

Total Cost of Ad Campaign: $
Multiple the number of sectors your ad will appear times the ad duration/cost for the total cost.

Click-thru-URL:
Alternate Text:
Banner filename:
Upload Image Files:
(Type location and name of image file on your computer or click button.)
Special Instructions:
 
Channel Advertising Subtotal:$
Diversity Recruitment Advertising Subtotal: $
Advertising Campaign Total:$
 

Payment Method*
Please select your payment method and submit your payment information by completing this form.

Check / Money Order
 
Make check / money order payable to: The AvScholars Network Foundation
US Dollars Only
 
Purchase Order Information
 
P.O. No:
FEIN:
Purchase orders are accepted from educational institutions and government agencies.
All invoiced accounts are payable on receipt and due in 30 days.
 
Credit Card Information
 
Name on Credit Card:
Card Number:
Expiration Month:
Expiration Year:
Card Type:
 
* Submission of this form constitutes an order for advertising on AvScholars.com and agreement with all associated advertising terms and conditions.
 

Mailing Instructions
If you are mailing this form with your check/purchase order, please sign this form below and return it with your full payment to:

Attn: Marketing Department
The AvScholars Network Foundation
8526 S. Drexel Ave.
Chicago, IL 60619

Signature: __________________________________
Date: ______________________________________

 
                     
 
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