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Advertising Registration Form

Thank you for your interest in advertising on NAPNES.org. Please complete the information below. One of our sales representatives will contact you regarding your ad placement. This form is for use only by companies that plan to pay the 25% premium charge for off-line billing.

Please fill in all fields marked with a *
CONTACT INFORMATION
Company Name:
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Street Address:
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Address 2:
City:
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State:
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Zip:
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Contact Name:
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Contact Phone:
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Contact E-Mail
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SELECT AD TYPE, LEVEL, and TERM
Type of Ad:
TEXT ADVERTISING INFORMATION
If you have chosen to place a text ad, complete the following to fields to indicate the "Title" for your ad, then the content (up to 350 characters) for your text Ad
Text Ad Title:
Text Ad Content:
GRAPHIC ADVERTISING
If you have chosen to place a graphic ad, you can upload your graphic ad using the box below. This is optional at this point. We can also design ad if needed.
Upload Graphic Ad:

              




 

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NAPNES
National Association for Practical Nurse Education and Service, Inc.
1940 Duke Street, Suite 200 — Alexandria, VA 22314
Phone: 703-933-1003 — Fax: 703-940-4089


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