Corporate Name: _______________________________________________________________
Contact Name: ________________________________________________________________
Mailing Address: _______________________________________________________________
City:
Phone: __________________________________ Fax: _______________________________
q Back Cover $450.00
q Inside Front Cover $350.00
q Inside Back Cover $350.00
q Centerfold (each page) $250.00
q Full Page $175.00
q Half Page $90.00
q Quarter Page $50.00
q Eighth Page $30.00
q Charge for artwork $10.00
q Charge for photograph in ad $5.00 each
q Please print my ad the same as last year.
q This is a new ad, camera-ready copy enclosed.
Method of Payment: Credit Card:______ Check _____ Check #:____________ Cash:_____
Name On Card (please print):______________________________________________________
Signature: _____________________________________________________________________
Thank You For Your Support