SPONSORSHIP FORM / ADVERTISING RELEASE

Please Print and Return this entire sheet with your check. 

  DEADLINE: Jan. 16, 2010          

The undersigned hereby gives permission to the Reno Gazette-Journal and the Elko Daily Free Press to use my name in this advertisement on behalf of: Nevada Families/Eagle Forum and the Choose Life Coalition.

 SIGNATURE HERE:

 Signed___________________________________________________Date___________________

 Signed___________________________________________________Date___________________

 Address________________________________________________________________________________

 City_______________________________________________State____________Zip__________________

 Phone___________________________________(h)__________________________________________fax____________________

 E-mail_________________________________________________________________________________

***We need your updated email address for Alerts!***

I want my name to appear in the ad as follows: Examples: The John Doe Family, Mr. and Mrs. John Doe, or John and Mary Doe, or the name of an organization, business, or church may be used.

PRINT NAME HERE: _________________________________________________

Please print name(s) exactly as it should appear in the paper.

Donation:  $25____  $50____    $100____ $250____ $500____  Other $______

__­­­___Check here if you want to donate, but DO NOT want your name in the paper.

Please make checks payable to: Nevada Eagle Forum (not tax deductible) or

Nevada Families (tax deductible):

MAIL: by January 13th 186 Ryndon Unit 12, Elko, Nevada 89801

FAX or Email: by January 16th  Elko 775-753-6397,

Sparks phone/fax 775-356-0105 & mail your check.

Donate on Line: www.nevadafamilies.org  Be sure to tell me how you want your name in the paper and notify me by email at:  EMAIL: director@nevadafamilies.org

DELIVER: to Lynn Chapman 815 Glen Vista Dr. Sparks, NV 89434, 356-0105. 

CALL: 775-397-6859 or in Sparks 775-356-0105

The ad will appear on Friday, Jan. 22nd in the Reno Gazette-Journal and in the Elko Daily Free Press, and in the  Jan. 21 edition of the Reno News and Review.  The cost of the ad will be $6,404, which includes full-page color ads in the 3 newspapers. Your donations above the $25 are greatly appreciated and will help with our educational efforts during this election year.  In addition, there will be a Choose Life Rally at South Reno Baptist Church, 6780 South McCarran, on Saturday, January 16, 2010 from 10:00AM-1PM.

“Choose Life--that you and your descendants may live.”

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