ADVERTISEMENT RECORD - RECEIPT
Amici
D'Italia Lodge 2791
P.O.BOX 8985
Jacksonville FL 32239-8985 (904) 928-9167
BUSINESS: ____________________________________________________________________
ADDRESS: _____________________________________________________________________
CONTACT:_________________________________ PHONE: _____________________________
PAYMENT METHOD: CHECK #:
_______CASH ________OTHER: ______ AMOUNT $________________
Date: _________
REC'D BY (Print Name):
_________________________________________________________
SIZE: Booster/Patron (+1x insert) Line__ Biz card__
1/4/ page__ 1/2/ page__ Full Page__ Back__
AD RATES: Booster:$5 - Patron:$15
- Card$25 - 1/4 Pg: $30 - 1/2 Pg: $50 - Full Pg: $100 - Back Cover: $200
Trademarks,
logos, artwork and business cards must be camera-ready for reproduction. Special fonts that are to be used in ad must be
provided on a floppy disk (disk will be returned if requested). To fit within borders, ad layouts must not exceed
the following: Business Card: 3.5”
wide x 2” tall (will be resized to fit) ¼
Page: 3” wide x 3.75” tall ½ Page: 6” wide x 3.75” tall Full Page: 6”
wide x 7.5” tall If submitting a
non-business card ad, attach rough sketch of ad or camera-ready material in box below:
AD
INFORMATION (Describe ad or
insertion):
Attach business card, camera ready
copy, etc.
Approved (Advertiser Signature) ___________________________________________________
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(OSIA copy above – tear here – tape or clip – Do Not Staple)
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AD RECEIPT
Amici D'Italia Lodge 2791
P.O. BOX 8985
Jacksonville FL
32239-8985
(904) 928-9167
Thank you for your support. Please keep this portion for your records. The OSIA Amici d’Italia Lodge2791 is a 501c(3) non-profit organization and contributions are tax deductible. We are registered with the Division of Consumer Services, Mayo Building, Tallahassee FL 32399. Florida residents can call 1 800 434 7352.
Date:
_____________ Amount $ ________
Received by:
(Printed Name): _________________________