ACVP Employment Submission Form
INSTRUCTIONS

The form below will allow posting of your job to the ACVP website. Posting will appear in 24-48 hours after submission. Email confirmation of ad placement will be sent when the ad is posted.

COST

Submission of ads is $50.00/month. Advertisers interested in mailing labels should contact the ACVP at 757-497-4143. Ads will be posted alphabetically by State orientation.

Invoices will be sent for submitted orders. Please include all information in the form to prevent delay of your posting. Credit card orders will be accepted at 757.497.1225.


Parent Name
(name of advertiser):
Client Name (name of advertiser client or same):
Client Code:
Frequency (number of months you wish the ad to run):
Headline:
Insertion date requested:
Internet link requested:
Ad Content: (this should be a box allowing unlimited words for insertion):


Billing Information
Name:
Agency or Institution:
P.O. Number (if applicable):
Insertion order number:
Address:
City:
State:
Zip Code:
Phone:
Fax:
Email: