Adcard Placement Request

NOTICE: SamTrans adcard space is FULL for the month of June 2012.

SamTrans manages a program to allow non-profit agencies to advertise a public service announcement via interior vehicle adcards. Before completing this form, please review the SamTrans Advertising Policy at samtrans.com/advertising

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Organization: W9# Contact Name Contact phone number  Enter a valid phone number. Example: 123-456-7890 Contact e-mail  Enter a valid email address. Example: name@company.com Mailing Address City / Zipcode Subject of adcard Requested posting date Is this date sensitive? Yes No Request posting for 30 days 60 days 90 days