MTA Advertiser Request

* 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?

YesNo

This ad falls under the following category or categories of Permitted Advertising, as defined in Section IV.A of the MTA’s Advertising Policy:

Commercial advertising (may include an ad from a 501(c)(3) tax-exempt organization which does not qualify as a public service announcement in question 4 below).A public service announcement directed to the general public from a 501(c)(3) tax-exempt organization. If so, you must also answer question 4.A governmental message. If so, you must also answer question 5.

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:

Prevention or treatment of illnessesPromotion of safety or personal healthEducation or training programs (e.g., colleges, graduate school programs, or vocational training programs)Art or culture programsProvision of children and family servicesProvision of services and programs that provide support to low income citizens, senior citizens or people with disabilitiesPublic education that solely informs the public of the existence of current New York City, New York State or national laws or constitutional provisions and that contains only a quotation from and citation to such provision and/or explanatory graphics accurately reflecting the law, and the identity of the advertiser.

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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