Print Advertising Reservation Form

Please complete the following form to place your advertising order. This information will automatically be forwarded to the AIP Advertising Department for processing, and a sales representative will follow up with you to confirm your order. Be sure to include your name and phone number.

To mail or fax this form please download and print the PDF format.

ACCOUNT INFORMATION

Advertiser Agency
Company Company
Address Address
City City
State State
Zip Zip
Phone Phone
Fax Fax
Contact Contact
Email Email
Campaign:
January February March April
May June July August
September October November December
Ad Size:
Full Page Half Page
Color:
B/W Two Color Four Color
Copy Deadline:
The 10th of the preceding month of issue date. Please e-mail your ad, a high resolution PDF file, to Christine DiPasca at cdipasca@aip.org
Special Instructions:

Advertising Contact:

Debbie Bott
Advertising Sales Manager
American Institute of Physics
2 Huntington Quadrangle, Suite 1N01
Melville, NY 11747-4502
Toll Free: 800-247-2242
Phone: 516-576-2430
Fax: 516-576-2327
Email: dbott@aip.org