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Calendar Submission

Calendar Submission

CALENDAR SUBMISSION FORM

Title*
First Name*
Last Name*
Address Line 1*
Address Line 2
City*
State
Post Code*
Country*
Phone
This is my home business address.
Calendar
Full Month Sponsor 9” X 2” (under photo) $1000.00
Half Page 4 1/2” X 2” (under photo) $ 500.00
Third Page 3” X 2” (under photo) $ 360.00
Empty Box in Calendar Month $ 100.00
Birthday, Anniversary, Yahrzeit* $ 36.00
Insert
Full Page Sponsor (pg. 2 or 3) $1800.00
Full Page Inside Back Cover $1000.00
Full Page Middle Insert $ 700.00
Half Page $ 360.00
Quater Page $ 180.00

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*Subject to space availability
In Memory of
Subit a date in memory of a deceased family member or friend.

In Honor of
Submit a date in honor of someone or to celebrate a joyous occasion.

Details:

* Denotes required field

Amount* $
Card Type*
Card Number*
Expiration Date*
CVV Security Code
Acknowledgement
Email Address*
Reconfirm Email Address*
You may acknowledge my gift to my email address
Please acknowledge my gift by mail to the above street address.
Please contact me to discuss additional giving opportunities.

Please click submit only once.
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