Honoring Hiroshi Motomura

A Benefit Reception for the National Immigration Project of the National Lawyers Guild

Friday, June 27, 2008
6:00-7:30 p.m.
AILA Annual Conference
Pan Pacific Hotel
OceanView Suite 2-4
Vancouver, B.C., Canada

ORDER FORM FOR PURCHASING PROGRAM BOOK ADS
 

Please print out this form, complete it as appropriate, and mail for receipt by June 3, 2008 to:

National Immigration Project
14 Beacon St., Ste. 602
Boston, MA 02108

Please make checks payable to the National Immigration Project.

OR, if paying by credit card, fax the form to: 617-227-5495
___ 1/8-page ad*   $100 [supporter]
___ 1/4-page ad*   $175 [supporter]
___ 1/2-page ad*   $300[sponsor]**
___ full page ad*   $500 [sponsor]**
TOTAL    

**$300 and $500 sponsors will also be listed on the program cover.
You can either provide the text for your ad here or email it (along with digital artwork, if appropriate) to: toy@nationalimmigrationproject.org

 

 

 

 

 

 
NAME: __________________________________________________________________________
ORGANIZATION/FIRM: __________________________________________________________________________
ADDRESS: __________________________________________________________________________
CITY: ___________________________________________
STATE: ___________________________________________
ZIP CODE: ___________________________________________
PHONE: ___________________________________________
EMAIL: ___________________________________________
Payment can be made by check (payable to the National Immigration Project) or credit card.
Credit Card Authorization
___ I would like to pay by credit card (Visa, MasterCard, Amex, Discover)
Card Number: ____________________________________________
Expiration Date: ____________________________________________
Name and billing address on credit card, if different from above:  

 

_____________________________________________________________________________________
Signature: ____________________________________________
For more information, call Toy Lim, Development Director, National Immigration Project at (617) 227-9727 ext. 5 or email toy@nationalimmigrationproject.org

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