SOMM Ad Order Form

Purchaser Full Name

First NameLast Name

Best email and phone number in case we need to contact you:

E-mail

Phone Number

Area CodePhone Number

Which section should your paid ad be placed in?

Homeroom, Team, or Club Name

To receive discount, apply coupon code: "HomeroomTeamClub"

Student's Full Name

First NameLast Name

Student's Class Year

Would you like to submit 1 FREE shoutout?

Student's name will be printed before shoutout. Only one free shoutout is permitted per student. If more than one shoutout is submitted, the first submission will be used.

Text for Shoutout

0/60

Type of Ad

Two Page Spread$210.00

Full Page Ad$120.00

Half Page Ad$65.00

Quarter Page Ad$40.00

Thank You Ad$12.00

Enter coupon

Total $0.00

Credit Card

First Name

Last Name

Credit Card Number

Security Code

Expiration Month

Expiration Year

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

Thank You Ad Text

Thank teachers, parents, or coaches. Or, send a shoutout to friends or graduating seniors. 0/250

NOTE:

We request artwork and ad copy be sent electronically to mumjoseph.somm@gmail.com. You will receive a confirmation email after the ad has been submitted.

Ad copy requirements: Photos should be scanned at 300dpi. Acceptable files: PDF, jpeg/jpg, ppt/pptx or doc/docx

Saluting Our Mount Men Ad Order Form

Type of Ad