Souvenir Journal AD Subscription & Ticket Order Form

AQA Annual Costume Ball & Dinner
at Terrace on the Park

7:30pm, Friday, Oct. 24^th, 2008

All ad-takers & contributors will be also be listed on the AQA’s 2008 Ball webpage.

Contributors of $350 or more are eligible to have a link to the corporate or personal website.
(Tax deductible as allowed by law.)

I wish to order the following for the 2008 AQA Souvenir Journal:

__ Back Cover...$1500 __ Inside Cover...$1000 __ Silver Page Ad...$500

__ Full Page Ad...$350 __ Half Page Ad...$250 __ Quarter Page Ad...$175__

__ Camera-ready art enclosed __ Use the enclosed copy (Journal size-7 x 9 1/2 inches)

___ Ticket(s) for the Costume Ball at $150 each. ___Table(s) for Ten at $1500.

__ I am unable to attend or submit an ad, but wish to contribute $_____

__ Enclosed is a check for a total of $ ______ or __ Please bill me

Send check payable to: Alliance of Queens Artists. Send hard copy & all camera-ready art to: AQA Gallery, 99-10 Metropolitan Avenue, Forest Hills, N.Y. 11375 Attn: Journal 2008 You may e-mail text, logos, etc. to rhmenzel@arts4u.org - If you have any questions, please call Bob Menzel (718) 520-9842.

(A copy of our latest annual report may be obtained from the Office of the Attorney General, Charities Bureau, 120 Broadway, NY, NY 10271)

FIRM'S NAME (if applicable)__________________________________________________________________

NAME ___________________________________________________________________________________

ADDRESS____________________________________________________________________Zip_________

PHONE____________________ FAX_______________________ e-mail____________________________

Gloria Aloise, Denise Arbesu, Elena Atlas, Hank Auffarth, John Buran, Dr. Katie Capitulo, Betty Carroll, Carol M. Conslato, Estelle Cooper, Gloria D’Amico, Leonard T. D'Amico, Marie W. Cook, Dolly DeThomas, April Dubison, Debby Elkin, Ingeborg Falken, Dr. John Farrell, Joseph R. Ficalora, Karen Garcia, Al Graser, Rosemarie Iacovone, Raymond Irrera, Cherie C. Jou,Constance DelVecchio Maltese, William D. Martin, R.H. Menzel, Harriet Novet, Jay Parker, Joseph J. Previte, Georgiana Reese, Vicki Schneps, Sam Schwartz and Barry Shatoff