2023 PROGRAM AD ORDER FORM
Questions marked by * are required.
1.
Name:
2.
Phone Number:
3.
Email Address:
4.
Choose Ad Size: (all ads are full color)
Quarter Page (5.5”w x 2”h) $75
Half Page (5.5”w x 4.25”h) $125
Full Page (5.5”w x 8.5”h) $195
5.
I do not have an Ad ready - I would like someone to design an ad for me for FREE.
Yes
6.
I am uploading a COMPLETE DIGITAL AD in PDF format.
7.
I am uploading a graphic (picture) to be used in my ad.
8.
Ad Copy (text)
9.
There are additional materials I will be submitting for this ad.
Yes
No
10.
Please email me a proof before publication.
Yes
No
11.
Amount Due
12.
Payment Type:
Credit Card (enter information below or call 261-2606 to pay by phone)
Check by Mail (please write checks to:Ave Maria Dance Academy) and mail to: 5068 Annunciation Circle Suite 103, Ave Maria, Fl. 34142
13.
Credit Card#: (this is a secure form)
14.
Expiration Date (mm/yy):
15.
CVV (3 or 4 digit code from back of card):
16.
Billing Zip Code:
17.
Special Instructions: