Advertisement Form Advertiser's Name Email Phone Number Address City State Zip Code Select Your Ad Full Page - 8 1/2" x 11" = $500.00 Half Page - 8 1/2" x 5 1/2" = $250.00 Quarter Page - 8 1/2" x 2 3/4" or 3 1/2" x 5" = $150.00 I agree to indemnify the publisher against any claims resulting from unauthorized use of any names, sketches, artwork, photography, registered trademarks, labels or works in our advertisement. I Agree Upload Image for your ad here. AD COPY - Please write your copy exactly as you want it to appear in the 2023 Program Journal. You may attach a Camera Ready copy. Please complete this form and return by August 25, 2023 to the address indicated above or email it to buffaloblackachievers@gmail.com. If you have any questions, please call (716) 884-1490. We hereby agree to pay amount selected in advance for the advertising indicated above. Please make check payable to: Black Achievers, Inc. and mail to the address indicated above. I Agree. If Agree Submit Form and Click Shop to Complete Purchase. Submit Purchase Ad
