CLIA Advertising Program Payment Form

Cossayuna Lake Improvement Association

Advertising Program Payment Form
CLIA thanks you for advertising in our Member Newsletter and on our website (www.cossayunalake.com). Reach hundreds of Cossayuna Lake residents several times a year as part of highly targeted communications. You may select to advertise in 4 or 8 issues, with a standard business card or double sized business card display.
Business Name *
Contact Name *

First Name Last Name
Mailing Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Contact Number *

Area Code Phone Number
Email Address *
example@example.com
Please enroll me in the following advertising program. All programs include an ad display on the CLIA website. *
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AD PROGRAM - STANDARD BUSINESS CARD - 4 ISSUES $ 100

AD PROGRAM - STANDARD BUSINESS CARD - 8 ISSUES $ 185

AD PROGRAM - DOUBLE BUSINESS CARD - 4 ISSUES $ 200

AD PROGRAM - DOUBLE BUSINESS CARD - 8 ISSUES $ 370

Total $ 0.00
Please send your business card or artwork to jsfelicetti@yahoo.com. Please send as a .jpg or .pdf file format.
Comments / Notes
Questions can be directed to:

John Felicetti 914.441.8266 or jsfelicetti@yahoo.com
CLIA is a 501(c)3 nonprofit organization. Donations are tax exempt to the extent of the law. A copy of our most recently filed financial report is available from the Charities Registry on the New York State Attorney General's website (www.charitiesnyc.com) or, upon request, by contacting the New York State Attorney General, Charities Bureau, 28 Liberty Street, New York, NY 10005 or us at POB 81, Cossayuna, NY 12823-0081. You may also contact the New York State Office of the Attorney General at 212.416.8401.
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Cossayuna Lake Improvement Association