Request an AWM Online Ad

Contact Information

An estimate will be issued to this individual for approval; if needed, please include any other email contacts in the comments/feedback section below.

Name:		(required)
Title:
Address:
Telephone:		(required)
Fax:
Email:		(required)

Billing Information

Payment Method: Send Bill Purchase Order Credit Card ( Mastercard or Visa )

Purchase Order Number: ( if applicable )

Credit Payments: Those wishing to pay by credit card should provide the contact information of the credit card holder below. Additional instructions for credit payments will be provided once the order has been confirmed with the Online Ads Coordinator.

Billing Address:	Use the contact information above? Yes No
	If No, please fill in the billing address below.

Name:
Title:
Address:
Telephone:
Fax:
Email:

Membership/Sponsorship:

AWM Institutional Members and AWM Institutional Sponsors receive advertising discounts of 10% to 50% off. AWM will apply the appropriate discount when billing, based on our membership records at that time.

N/A	Academic I	Benefactor
Not Sure	Academic IIa	Patron
	Academic IIb	Friend

Online Advertisement: Classified Ad or Job Link Ad format

Desired Starting Date:
As Soon As Possible
Desired Ending Date:
60 Days from Starting Date
Tip: You may choose any starting and ending dates by adjusting the date selection boxes above. For example, it may be useful to select an ending date on or close to the closing date given in your ad(s). If you choose durations shorter than 60 days, for billing purposes 60 days will remain the minimum for calculating the cost.

Job Link Minimum $100 for 60 days

Title and Institution:
URL:
Reminder: Your Job Link's destination URL needs to refer to the AA/EEO designated job announcement you wish to advertise. For examples, see www.awm-math.org/ads.html#joblinks. If you are requesting an online classified ad, these fields should be left blank.

Classified Ad Minimum $150 for 100 words, plus $25 for optional graphic, for 60 days

Institution Name:

(Will appear in boldface preceding the ad.)

I would like to include an optional graphic: Yes No
If Yes, click here to email your graphic to the AWM ads coordinator, dj@awm-math.org.

I would like to submit my text as an attachment: Yes No
If Yes, click here to email your text attachment to the AWM Ads coordinator, dj@awm-math.org.
If No, please paste your text here, including any desired hyperlinks.
Please copy your classified ad text in this area (multiple ads ok), or simply leave this section blank if you are requesting a Job Link ad.

Comments and Feedback

Questions or Comments?

How did you hear about AWM Online Ads? ( Check all that apply. )
Visit to AWM Web Site
AWM Newsletter
Have Advertised with AWM Online in the Past
Flyer
Referral, word of mouth
Other: