Advertising Request Form OTHER 2010 - Stony Brook … · 2016-05-04 · University Advertising...
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University Advertising Request Form Advertising Request #: 173 Administration Building, Campus Zip: 1751 Phone: 2-6434, Fax 2-9362 Dept. Name: Date: Dept. Contact: Campus Zip: Account # to bill: Authorized account signature: SUBJECT: PUBLICATION NAME Ad size Issue date if known A) B) C) D) E) F)) G) For additional publications, use separate piece of paper Office Use Only – do not write below this line University Advertising: Account # to be credited: Object Code: Date: Journal Transfer #: Service Unit Approval: Net: $ + (6.39%) $ = FINAL CLIENT PRICE: $ Research Services: Grant Coordinator: Date: Grant Termination Date:
Transcript of Advertising Request Form OTHER 2010 - Stony Brook … · 2016-05-04 · University Advertising...
University Advertising Request Form Advertising Request #:
173 Administration Building, Campus Zip: 1751 Phone: 2-6434, Fax 2-9362
Dept. Name: Date:
Dept. Contact: Campus Zip:
Account # to bill:
Authorized account signature:
SUBJECT:
PUBLICATION NAME Ad size Issue date if known
A)
B)
C)
D)
E)
F))
G)
For additional publications, use separate piece of paper
Office Use Only – do not write below this line
University Advertising:
Account # to be credited: Object Code: Date:
Journal Transfer #: Service Unit Approval:
Net: $ + (6.39%) $ = FINAL CLIENT PRICE: $
Research Services: Grant Coordinator: Date: Grant Termination Date:
commoff
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Version JUNE 16 2010