Ad Submission Form NEW VOLUME NUMBER
NEW PAGE NUMBER
NEW ISSUE NUMBER
Use this form to submit exact repeat ads or ads with minor changes to NCI. See back of this form for instructions.
PAGE POSITION
HistoryInformation CHECK IF EXACT REPEAT
88627.18.5.026-page2.pdf
NCI USE
â?? Repeat Visual â?? Repeat Info M.I./Date________________
Minor Changes Change 1:_______________________________
Park Place A
P
A
R
T
M
E
N
T
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S
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-PDBUJPO t $JUZ 4UZMF t $IBSN t Entertainment
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"XBSE 8JOOJOH 6SCBO -JGFTUZMF 'MPPSQMBOT
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600 24th Street North Birmingham, AL 35203
Change 2:_______________________________ ____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________ Change 3:_______________________________ ____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________ Change 4:_______________________________ ____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________ Change 5:_______________________________ ____________________________________________
205.719.3406
____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________
PPSQMBOT t $JWJD *OWPMWFNFOU t :FBS 3PVOE "SU .VTJD 'PPE 'FTUJWBMT t /FBSCZ $PNNVOJUZ (BSEFOT
88627.18.5.026.indd 2
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3/25/15 2:13 PM