MAUI HI-NOTES SUPPLEMENT 2013 CENTENNIAL EDITION
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Name of Company or Organization
________________________________________________________________________________________________________
Mailing Address City State Zip Code
___________________________________________________________________________________________________________
Name of Contact Person Phone Cell E-mail
We agree to purchase THE FOLLOWING Advertisement:
Ad Size _________ Dimension ______________________________ Cost _______________
Please fill in your ad copy here (or on the other side of this form):
NOTE: Art work, photographs, etc. may be used. Email high resolution black-and-white pdf image to janetshi@msn.com with full information.
PAYMENT IN FULL IS DUE WITH AD ORDER. DEADLINE FOR ADS: JUNE 30, 2013.
Please make check payable to Friends of Old MHS – HI-NOTES.
__________________________________________ ______________________________
Signature Date
Please mail this form with payment to:
MAUI HI-NOTES SUPPLEMENT The Spirit Lives On !
c/o Janet Shimada
474 Palama Drive
Kahului, HI 96732
