AD FORMS

GROWING TOGETHER

DINNER - DANCE - RAFFLES

OCTOBER 27, 2012

$1,000,00 & UP in cash or kind: special mention in front

of Ad Book, special mention night of benefit and continued mention in St. Mary's quarterly newsletter

& Friends of St. Mary's web site.

$500.00 - $999.00 in cash or kind: special mention in Ad Book,

St. Mary's Quarterly newsletter & Friends of St. Mary Web site.

$300.00 - $499.00 in cash or kind, includes special mention in Ad Book and Friends of St, Mary Web Site.

4.5x7.5 $250.00

4.5X7.5 $150.00

4.5X3.625 $75.00

4.5X1.625 $40.00

Inclusion on "Angel List" $2.00

I do not wish to place an ad,

would like to make a donation.

Please use the below box to submit wording for ad

Make TAX DEDUCTIBLE checks payable to: St. Mary of Providence.

ALL CHECKS MUST BE RECEIVED NO LATER THAN 10/5/12.

PLEASE BE SURE TO INCLUDE YOUR AD INFORMATION WITH CHECK.

Please send your camera ready artwork and or business card to: Diverseimage@earthlink.net

AVAILABLE ADS

NAME:

ADDRESS:

CITY:

EMAIL:

STATE:

CONTACT PHONE:

PLEASE BE SURE TO PRINT THIS FORM FOR YOUR RECORDS BEFORE CLICKING ON THE SUBMIT BUTTON. THANK YOU!

Friends of

St. Mary of Providence

UNDERWRITERS, BENEFACTORS, SPONSORS & AD BOOK FORM