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: