Promotion Request For Funding Form

Name *

First Name

Last Name

Our Lodge agrees to split the cost(s) of the advertising campaign *

Yes, 50% to be paid by the Lodge

No, limited funds available from the Lodge

What type of ads will you be running? *

TV

Radio

Billboards

Mailout

Newspaper

Other

Our ads will include a message aimed at attracting new members to our Lodge *

Yes

No