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: