ADVERTISER REQUEST FORM

To advertise with the Review of Disability Studies, please fill out the form below and email to 
rdsj@hawaii.edu. Or print out/fill out and mail to:

The Review of Disability Studies:  Attention Advertising
Center on Disability Studies
University of Hawaii at Manoa
1776 University Avenue, UA 4-6
Honolulu, HI 96822

A representative will contact you to discuss submission and payment for your advertisement.

I am interested in advertising in the Review of Disability Studies:

Name: __________________________________

Organization/Affiliation ___________________

Address: ________________________________
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Email: _________________________________

Phone: _________________________________

I am interested in the following number of advertisements:

____Half page advertisement(s) (7x4 inches) at $300.00 each
____Full page advertisement(s) (7x8 inches) at $500.00 each

Please check only one if applicable:

__10% discount for 3, 4 or 5 insertions
__20% discount for 6 or more insertions
__10% publishers discount
__10% first time advertiser discount

Please briefly describe the content of your proposed advertisement:

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