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Annual Calendar Ad Donation & Payment Form

Annual Calendar Ad Donation & Payment Form

 

Advertisement Sign-Up E-Form

Name:

Company Name:

Address:

Phone:

Fax:

Email:

(graphic sample above does not reflect actual calendar size)

   

Fee information:

Quantity

  1. Full Month (10.5" x 2")= $540.00 each
  2. Half Month (5.125" x 2")= $360.00 each
  3. Business Card (3.35" x 2")= $250.00 each
  4. Bottom-Page Box (1.3" x 1.3")= $120.00 each
  5. Full Page (10.5" x 8")= $1000.00 each
  6. Half Page (5" x 8")= $650.00 each
  7. Quarter Page (5" x 3.75")= $380.00 each
  8. Greeting/Personal Message= $18.00 each
  9.  
  10.   High Holidays/ New Years Greeting = $36.00 each
  11. Corporate Sponsorship = $2,000.00 each ( includes logo in back page and ad on every page)

Total Amount: $

Name or Other Text:

Greeting should appear on: month/day/year

Birthday Anniversary Yahrtzeit  New Years Greeting  other

Special Notes/Comments:

                                                                                                                                                

                   Credit Card Detail                                     

Payment amount * $  US

 

Card Type*:  

Card Number*: 

Expiration Date*:

Month  

Year  

CVV Sec. Code*: 

 
 

 

 

 

 

 

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