2023 PRIDE AD ORDER FORM
Questions marked by * are required.
1.	Your Child's Name:
2.	Your Name: *
3.	Your Phone Number: *
4.	Your Email Address: *
5.	Choose Ad Size: (all ads are full color) * Quarter Page-$25 (5.5"W x 2"H) Half Page-$40 (5.5”W x 4.25”H) Full Page-$65 (5.5” W x 8.5”H)
6.	Ad Design: * I need someone to design my ad for me ($10) I will be submitting a print ready ad
7.	I am uploading the picture I want to put in my ad or uploading a COMPLETED AD in PDF format. (If you have multiple pictures, complete this form but email additional pictures to (avemariadance@comcast.net)
8.	Please include this text with my ad:
9.	Proof Please email me a proof before publication (check only if we are designing your ad for you)
10.	Amount Due (please type the amount you owe for your ad in the box below): *
11.	Credit Card#: (this is a secure form)
12.	Expiration Date (mm/yy):
13.	CVV (3 or 4 digit code from back of card):
14.	Billing zip code:
15.	Additional Instructions: