Advertisement request Form


Dear sir/Madam

          I would like to advertise in the publication of IAMT

Advertise in: IJMT      WJASR      MTM   
Category Member    Non Member  
Company Name:
Contact Person: Last       Middle       First   
Designation:
Billing Address:

City    State/Prov    ZipCode   
Country:
Email:
Home phone:   Work phone:  
Fax No:   Mobile No:  
Cheque/draft No:   Date:  
Bank name
Detail of ads   (Only MS word, tif or .jpg files )
Choice of month

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Category Category Member Non Member Executive
Member
Professional
Member
For International J. of Music therapy (IJMT) Indian     
Foreigner
For World J. of App. Science & Res. (WJASR) Indian     
Foreigner
For Music Therapy Matters (MTM) Indian     
Foreigner
Combined package for IJMT & WJASR Indian     
Foreigner
Combined package for IJMT, WJASR and MTM Indian     
Foreigner

Take the print out of above form and Cheque drawn in favour of “Indian Association of Music Therapy” Payable at Noida, mailed to Chairperson, Indian Association of Music Therapy, I-18, Sector-22, Noida
Signature