Purchase Tickets

Purchase tickets to the 2012 Diversity Achievement and Mosaic Awards & Forum.

Name*
First Name Last Name
Title*
Company*

Address*

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

E-mail*
Phone Number*
- Area Code Phone Number

Payment Type*
Prices:

Luncheon & Forum (Member): $325
Luncheon & Forum (Nonmember): $400

Mosaic Forum Only (Member): $150
Mosaic Forum Only (Nonmember): $200

Click here to calculate total (optional)

Please make your check payable to the American Advertising Federation.

Send the total amount due to:

American Advertising Federation
Attn: Bruce Ford
1101 Vermont Ave NW, Suite 500
Washington DC 20005

Individual Tickets

Luncheon + Forum (Member) $325.00 USD

Quantity
Luncheon + Forum (Nonmember) $400.00 USD

Quantity
Mosaic Forum Only (Member) $150.00 USD

Quantity
Mosaic Forum Only (Nonmember) $200.00 USD

Quantity

Total: $0.00 USD

Payment Method

Credit Card
First Name	Last Name
- Credit Card Number Security Code
/ Expiration Month Expiration Year
Billing Address
Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Cancellation Policy

Requests for cancellation of sponsorships must be made in writing and received by the AAF before September 28, 2012. A $250 cancellation fee will be deducted from funds received and refunds will be made by the same payment method that was used to pay AAF. Sponsorship cancellation requests received on or after September 28, 2012 will not be refunded.
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