Chabad Jewish Center of Laguna Beach

Jewish Community Calendar

2011-2012

Advertising Order Form

___ Full Page $ 1,000.00

___ Half Page $ 500.00

___ Quarter Page $ 250.00

___ Business Card $ 75.00

___ Birthday/Anniversary/Bar/Bat Mitzvah/Yahrzeit $ 18.00

(or 5 event listings for only $75.00)

Please make your selection from above and complete the information below.

You may attach a copy of the advertising artwork (ad copy or business card) to this form.

Payment may be made by credit card (please provide the information below as indicated) or by check payable to: CHABAD JEWISH CENTER

Please return form, ad artwork or business cards, and payment to Chabad Jewish Center, 30804 S. Coast Hwy., Laguna Beach, Ca. 92651

NAME____________________________________________________________

ADDRESS_________________________________________________________

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CITY _________________________ STATE _____________ ZIP ___________

PHONE__________________________________________________________

CELL____________________________________________________________

EMAIL _________________________________________________________________

CC #/Type (MC/VI/AMEX)____________________________________________

EXP ____________V code __________