Questions marked by * are required.
1. Your Name: *
2. Your Phone Number: *
3. Your Email Address: *
4. 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)
5. Ad Design: *
  • I need someone to design an ad for me ($10)
  • 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. Credit Card#: (this is a secure form)
11. Expiration Date (mm/yy):
12. CVV (3 or 4 digit code from back of card):
13. Billing zip code:
14. Additional Instructions: