Advertising Form

*This information is required
Business or Advertiser Name*
Contact Name*
First Last
Address*
Street Address Address Line 2 City State ZIP Code
Email*
Phone*
Solicitor Name
Advertising Sizes*
- Full Page (Color): 5" wide x 8" high ($1500)
- Full Page (Black & White): 5" wide x 8" high ($1000)
- Half Page (Color): 5" wide x 3.8" high ($750)
- Half Page (Black & White): 5" wide x 3.8" high ($500)
- Quarter Page (Color): 2.4" wide x 3.8" high ($525)
- Quarter Page (Black & White): 2.4" wide x 3.8" high ($350)
Attach a copy as you wish it to appear, or camera ready artwork.
Max. file size: 1 MB.
Electronic submissions may also be sent “Attention Lori” to [email protected]
Note Any Special Instructions
Payment
Additional Donation (Optional)
Billing Address*
Same as Address

Street Address Address Line 2 City State ZIP Code
Secure Credit Card

Card Holder*

Card Number*

Card Expiration*

Card CVV*
Would you like to add a 3.5% convenience fee to help cover the costs of processing?*
- Yes
- No
Convenience Fee
$0.00
TOTAL
$0.00
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