2010 Earth Day Indiana Spread the Word Form

Click the download link to the right to receive a neat pdf of this form that you can complete and return. Or, you can copy the text and paste it into an e-mail or Word.

You may submit the form to earthdayindiana@comcast.net or PO Box 40655, Indianapolis, IN 46240.

Organization name:___________________________________________________

Address, city, state, zip:_______________________________________________

Contact person & title:________________________________________________

Daytime phone:___________________________ Cell:______________________

E-mail:__________________________ Organization phone:__________________

Web address____________________________________ Request an invoice____

Festival Guide Ad Rates

$________ Full Page = $3,200

$________ Half Page = $1,750

$________ Quarter Page = $1,000

$________ TOTAL

Please ___ do ___ do not invoice us.

Please make checks payable to Earth Day Indiana

Send forms and checks to PO Box 40655, Indianapolis, IN 46240

Or pay by credit card and e-mail the form to earthdayindiana@comcast.net:

___Visa ___MasterCard ___American Express ___Discover

Card number_________________________ Exp._____ Zip Code_____________

Completed forms must be received by February 17.

Contact: Stephen Sellers, 317-641-7818, earthdayindiana@comcast.net