Business Name  ______________________________________________________________

Address_____________________________________________________________________

Phone #   _______________    Authorizing/Contact Person  _____________________________

Web Page? www.______________________  email Address?_______________@__________

Size of advertisement:       $50 Half page _________          $100 Full-page __________

Please provide a sample layout in the box below, or on the reverse side, how you want your ad to appear.   You may simply attach your business card, or perhaps a copy of your "yellow pages" advertisement or sketch the graphics and include the text you desire.  We will convert it into the copy-ready form for our booklet.  Note:  If you are also donating a door prize, that will be noted in a separate section.

This is the space for a "half-page" $50 ad.