Multiple Sclerosis is a chronic, progressive disease of the Central Nervous

System in which everyday tasks can no longer be taken for granted. MSSI
is a Voluntary Organization whose mission is to minimize the devastating
effects of Multiple Sclerosis on individuals & families.

Please reserve Advertisement Space in the Souvenir being brought out on

the special occasion of the World MS Day.

ADVERTISEMENT PARTICULARS
Reserved Space Cost (Rs.) Size Mark your
choice
Back Cover 50,000/- 19 cm X 25 cm
Colour
Front Inside Cover 30,000/- 19 cm X 25 cm
Colour
Back Inside 25,000/- 19 cm X 25 cm
Colour
Full Page 25,000/- 19 cm X 25 cm
Colour
Full Page 20,000/- 19 cm X 25 cm
B/W
Half Page 10,000/- 19 cm X 12.5cm
B/W
Quarter Page 5,000/- 9.5 cm X 12.5cm
B/W

Your Advertisement material, accompanied by Cheque/Draft should reach

MSSI Mumbai office by 30th April 2010. All Cheques/DD’s should be made in
favour of –
“MULTIPLE SCLEROSIS SOCIETY OF INDIA - Mumbai”
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RELEASE ORDER Advertising Matter
to be attached to this form.

Size of Advertisement ________________________________________

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ADVERTISER DETAILS -
Name______________________________________________________________________________

Address
_____________________________________________________________________________________
___________________

_____________________________________________________________________________________
_____________________________

Contact Person & Designation

_____________________________________________________________________________

Telephone ________________________________________________ PAN

No.__________________________________________

Email
_____________________________________________________________________________________
______________________

Date_________________________________________ Signature of Advertiser

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