Questions marked by * are required.
1. Name:
2. Phone Number:
3. Email Address:
4. Choose Ad Size: (all ads are full color)
  • Quarter Page-$20 (5.5"W x 2"H)
  • Half Page-$35 (5.5”W x 4.25”H)
  • Full Page-$65 (5.5” W x 8.5”H)
5. Ad Design:
  • I need someone to design an ad for me
  • I will be submitting a print ready ad
6. I am uploading a picture or COMPLETE DIGITAL AD in PDF, PNG, or TIFF format. (If you have multiple pictures complete this form but email the pictures to (avemariadance@comcast.net)
7. Please include this text with my ad:
8. Proof
  • Please email me a proof before publication
9. Amount Due (please type the amount you owe for your ad in the box below):
10. Payment Type:
  • Credit Card (enter information below or call 261-2606 to pay by phone)
  • Pay in Person at the Studio
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: