2019 Monmouth LGBTQ Dems Awards Dinner Ad Journal
please fill all fields completely for ELEC compliance. any questions, please email monmouthlgbtqdems@gmail.com
AD JOURNAL SELECTIONS AND PRICES (SELECT ONE) *
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STREET ADDRESS *
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TELEPHONE *
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EMAIL ADDRESS *
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OCCUPATION *
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EMPLOYER *
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EMPLOYER ADDRESS *
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I AGREE TO SEND CHECK PAYABLE TO MONMOUTH LGBTQ DEMS TO 296 TENNIS CT, WALL, NJ 07719 UPON COMPLETION OF THIS FORM. *
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I AGREE TO EMAIL FORMATTED AD TO MONMOUTHLGBTQDEMS@GMAIL.COM. ACCEPTABLE FORMATS INCLUDE JPEG, PDF AND WORD DOCUMENT. *
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