Please return this form and materials to Mrs. Holderness by 2/28/17 ...
Please return this form and materials to Mrs. Holderness by 2/28/17 along with payment if you wish to purchase your ad through the school. Also please select a layout from the attached choices.
Parent Name:
________________________________________
Student Name:
________________________________________
Address 1:
________________________________________
Address 2:
________________________________________
City, State, Zip:
________________________________________
Phone:
________________________________________
E-mail:
________________________________________
Ad Size
Ad Color
Full Page 1/2 Page 1/4 Page 1/8 Page
Price
Color Color Color Color
Quantity
Total
$100.00 $60.00 $35.00 $20.00
Ad Copy
Signature:
__________________________________________________
Date:
_________________
For Staff Use Only Ad Sold By: Photo & Text Received Date: Ad Assigned To:
Date:
Receipt #: # of Photos Received: Page #:
Notes:
© 2016 Jostens, Inc. 160131
Parent Name:
________________________________________
Student Name:
________________________________________
Address 1:
________________________________________
Address 2:
________________________________________
City, State, Zip:
________________________________________
Phone:
________________________________________
E-mail:
________________________________________
Ad Size
Ad Color
Full Page 1/2 Page 1/4 Page 1/8 Page
Price
Color Color Color Color
Quantity
Total
$100.00 $60.00 $35.00 $20.00
Ad Copy
Signature:
__________________________________________________
Date:
_________________
For Staff Use Only Ad Sold By: Photo & Text Received Date: Ad Assigned To:
Date:
Receipt #: # of Photos Received: Page #:
Notes:
© 2016 Jostens, Inc. 160131
