LMSA National Advertising Request Form

Post-Approval Review

Thank you for your interest in advertising with the Latino Medical Student Association (LMSA).

Please use the form below to confirm any potential post-approval advertising modifications for dissemination to LMSA members nationally.

For any questions, please reach out to the following:

• For social media-related questions:
  • Deondra Montgomery, Public Relations Chair
  • public.relations@lmsa.net  
• For newsletter-related questions:
  • Dahlia Chavez, Publications Chair
  • publications@lmsa.net  
• For website-related questions:
  • Cade Cantu, Chief Technology Officer 
  • webmaster@lmsa.net  
• For general advertising questions:
  • Advertising Group
  • advertising@lmsa.net, vp_comms@lmsa.net

LMSA National reserves the right to request additional information and/or refuse service if any material submitted is inaccurate, misleading, false, harmful, or contrary to the mission, values, and objectives of the organization.

If you would like to pay by check an invoice for {holdCost} will be sent to {fullName}. A W-9 Form for the Latino Medical Student Association can be found here.

You are a: {pleaseCategorize} 

Your selected modes of advertising are: {desiredForums}{desiredForums81}{desiredForums82}

For our Social Media section you selected: {typeOf}{typeOf145}{typeOf146}

For our Website Section you selected: {residencyWhat}{whatType147}{whatType142}

Your order total is ${TotalAdvertisingCharge}. PLEASE FILL OUT THE "Full Name of Payer" SECTION BELOW TO UPDATE THE COST (May incorrectly say $0 until you do so). 

Please note: a 3% payment processing fee that will be added to all orders paid using a credit/debit card

Submit form