Filipino-Canadian Cabletow Service Club

760 Aspen Rd., Pickering, ON L1V 3S3

Souvenir Program
Subscription Contract

We are placing an advertisement into the SOUVENIR PROGRAM of the FilCan Cabletow on the occasion of its 17th Annual Ladies Night in support of its charity project The Masonic Charities for Crippled Children in Manila, Philippines. Name and Signature of Advertiser: _____________________________________________________________ Mailing address: ____________________________________________________________________________
Phone: ___________________________

Fax:

__________________________ Email: ______________________

Advertisement Fees: (Please indicate selection by marking enclosed bracket.)

Back Cover Outside Page (colour) Back Cover Inside Page (colour) Front Cover Inside Page (colour) $300 $250 $250 [ [ [ ] ] ] Centrefold/Both Pages (colour) Whole Page Half Page $300 $120 $75 [ [ [ ] ] ]

Amount enclosed:________________________ Paid by: [

[ [

] Cheque

] Cash

] I have pre-designed advertising text/graphics and sent to vanski@yahoo.com ] This is the text of my advertisement: (If no text is provided, we shall print your name and address only).

This portion of the form must be returned on or before May 13, 2012. Please make your cheque payable to FilCan Cabletow and remit it to our authorized representatives or mail to: Bro. Jonathan Modo, Sr. 760 Aspen Rd., Pickering, ON L1V-3S3 Tel. 416-826-3809 Cut and Return the Top portion of the form to FilCan Cabletow

Subscription Contract Subscribers Copy Name and Signature of Advertiser: _____________________________________________________________ Mailing address: ____________________________________________________________________________
Phone: ___________________________

Fax:
[ [ [

__________________________ Email: ______________________

Please indicate selection made:

Back Cover Outside Page (colour) Back Cover Inside Page (colour) Front Cover Inside Page (colour) [ [

$300 $250 $250

] ] ]

Centrefold/Both Pages (colour) Whole Page Half Page

$300 $120 $75

[ [ [

] ] ]

] I have pre-designed advertising text/graphics and sent to vanski@yahoo.com ] This is the text of my advertisement: (If no text is provided, we shall print your name and address only).

The top portion of this form must be returned on or before May 13, 2012. Please make your cheque payable to FilCan Cabletow and remit it to our authorized representatives or mail to: Bro. Jonathan Modo, Sr. 760 Aspen Rd., Pickering, ON L1V-3S3 Tel. 416-826-3809