New York State Volunteer Ambulance and Rescue Association

New York City Region, District 4

2016 EMS Week Recognition and Memorial Dinner



[_____] $200.00 Full Page

[_____] $125.00 Half Page

[_____] $ 75.00 Quarter Page

[_____] $ 50.00 Business Card

[_____] $ 25.00 Booster

Please attach a copy of your camera ready ad or a business card. Also, please e-mail an electronic copy of your ad to
To guarantee your ad is published in the journal, please be sure to have your ad copy  submitted  by  April 1, 2016 at the latest.


Phone: (_____) _____-__________


Please make checks payable to: NYSVARA, NYC Region District 4.

Print page, complete, enclose check and return to:

NYSVARA NYC Region District 4
2016 Volunteer EMS Recognition and Memorial Dinner Committee
PO Box 116
Howard Beach, NY 11414-0116

The Dinner Chairperson is Mr. Martin Grillo, Chief of Emergency Medical Rescue of NYC. He can be contacted at (718) 474-0680.

The New York State Volunteer Ambulance & Rescue Association was established in 1939 and is a 501 [ c] [ 3] organization.
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