Coastal Concerts Printable
Program Ad Form
Ad Sold By ___________________________ (Coastal
Concerts Volunteer)
___________________________(Volunteer’s Phone
or e-mail)
1.
ENTER BUSINESS INFORMATION:
Business
Name: ________________________________________________
Business Contact Person:
______________________________________
Business Address: ______________________________________________________
Phone: ____________________ Fax: ____________________ E-Mail: ____________________
SELECT
SIZE OF AD:
( ) Full Page ($225) – 5 w x 8 h (
) 1/2 Page ($150) – 5 w
x 3.875 h
( ) 1/4 Page ($95) – 5 w x 1.875 h (
) Business Supporter ($50) (25 words / no graphics)
3.
Provide Ad Copy
( ) Use Same Ad as Ad from Past Year ______ (must specify year)
( ) Will Electronically Forward Ad
Copy To: cindy@albrightcomputing.com
4. Select Method of
Payment
( ) Attach Check #
_____________ (Please Ensure Business Name is on Check)
MAke payable To: "COASTAL CONCERTS” -
mail to P.O.
( ) Charge
to: Card Type:________
Card No: ________________________________
Card Expiration Date:__________
Card Security Code: ___________
Card Billing Address (if
different from Business Address above):
_______________________________________________________________________________________
Or
pay by Credit Card using
our on-line form
DEADLINE:
NOTE:
ALL ADS MUST BE COMPLETE
For More Information: Board@coastalconcerts.org
Instead of mailing, drop-offs may be made to:
Lewes
Gourmet,