SOMM Ad Order Form

Saluting Our Mount Men Ad Order Form
Full Name*

First Name Last Name
E-mail*
Phone Number*

Area Code Phone Number
Student's Full Name*

First Name Last Name
Student's Class Year*
Which section should this ad be placed in?

BoosterFreshmanSophomoreJuniorSeniorMSJ Homeroom/Team/Club (50% discount)Thank You Ad
Homeroom, Team, or Club Name*
To receive discount, apply coupon code: "HomeroomTeamClub"

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
Should be Empty: