* Required Field(s)
Identify the full name of the person, corporation or entity that will pay for this ad (i.e., the advertiser, not the ad agency):
Is the ad being paid for by an entity that qualifies as a Section 501(c)(3) tax-exempt organization?
This ad falls under the following category or categories of Permitted Advertising, as defined in Section IV.A of the MTA’s Advertising Policy:
If you believe the advertisement qualifies as a public service announcement directed to the general public from a 501(c)(3) tax-exempt organization under the terms of the MTA Advertising Policy, please identify the topic(s) to which the ad directly relates:
If this is a governmental message, please identify the governmental entity sponsoring the ad:
If available, please insert your creative ID(s):
Signed By:
Title:
Email:
Company:
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