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: