BINGHAMTON UNIVERSITY
ADVERTISING DISTRIBUTION SERVICES
Organizations making applications for ADS should complete Section 1 only and send it along with two (2) sample pieces for review to: ADS, Binghamton University CMS, P.O.Box 6000, Binghamton, NY 13902-6000. Campus Mail Services (CMS) Phone: 777-2914 Fax: 777-6920
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SECTION I: TO BE FILLED OUT BY REQUESTING ORGANIZATION |
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A. Name and address of Organization
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Contact Person
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Phone: ( ) Fax: ( ) e-mail: |
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B. Name & address of Mailing Agent (if other than in A)
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Contact Person
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Phone: ( ) Fax: ( ) e-mail: |
| C. Requested Date of Mailing: __/__/__ D. Number of pieces for Distribution: ____________ | ||
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SECTION II: TO BE COMPLETED BY CAMPUS
MAIL SERVICES AND |
| A. Sample Piece Review Acceptable ________ Unacceptable ________ Reason: ______________________________________ B. Signature of Reviewer: _________________________________ C. Distribution to Students: All ______ Partial _______ D. Rate/Piece: $________ E. Total Pieces for Mailing: _______ F. ADS Fee: $_______ G. This distribution will be the _________ of the current academic year. Submit this form and check for ADS fee in advance or on delivery of mailing to Campus Mail Services. Checks should be made payable to: BU IFR 90846 |
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SECTION III: STATEMENT OF MAILING |
| A. Date Mailing Received: ___/___/___
B. Time: ________ a.m/p.m C. Total Pieces Received: __________ D. Date of Distribution: ___/___/___ E. Authorized Signature:
_________________________________________ Date: ___/___/___ |