New York State Volunteer Ambulance and Rescue Association

New York City Region, Districts 4 & 18

2009 EMS Week Recognition Dinner

JOURNAL AD ORDER FORM

[_____] $150.00 Full Page

[_____] $ 85.00 Half Page

[_____] $ 50.00 Quarter Page

[_____] $ 35.00 Business Card

[_____] $ 15.00 Booster

Please attach a copy of your camera ready ad or a business card.

Name:_______________________________________

Phone: (_____) _____-__________

Address:__________________________________________________________

Please make checks payable to: NYSVARA, NYC Region.

Print page, complete, enclose check and return to:

NYSVARA NYC Region-Districts 4 & 18
2009 Volunteer EMS Recognition 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. info@emsdinner.com

The New York State Volunteer Ambulance & Rescue Association was established in 1939 and is a 501 [ c] [ 3] organization.
We’re on the web at www.nysvara.org