MapuaWorld 2009 Advertising Form

Thank you for your interest to be a program sponsor for the MapuaWorld 2009. Please fill out the information below and send your payment through PayPal or by mailing your cheque/bank draft payable to TAMA. Please see our website’s Registration page for instructions on how to remit your payment.

* First Name

* Last Name

Company Name

* Address 1

Address 2

* City

* State

* Postal Code

* Country

* Phone

Fax

* Email Address

Website Address if any

* Please check selection

Outside Back Cover (US$500)

Inside Front Cover (US$200)---Taken

Outside Back Cover (US$200))---Taken

Full Page (US$100)

Half Page (US$50)

Quarter Page (US$35)

Sponsorship (Personal Donation)

* Method of Payment Selected

* Date Done/Mailed

* Confirmation/Check Number

Please type your message/advertisement here if you would like us to design the layout

Please upload your message here

* I/We hereby authorize the Texas Association of Mapua Alumni (TAMA) to publish our business (Sponsorship/Advertisement) in the souvenir program for MapuaWorld 2009 Gala to be held on March 14, 2009 at the Hilton Houston Post Oak Hotel, Houston, Texas 77056.

* Please type your complete name

* Date

* Indicates Response Required