Jack and Jill of America, Inc.
Dallas, Texas Chapter
AD LAYOUT FORM
Deadline February 14, 2010
Advertiser_________________________________________Phone_________________
Address_________________________________________________________________
City_____________________________State___________________Zip_____________
Ad solicited by Beau_______________________________________________________
**Please submit a separate check for each Beau if add is in support of more than one.
Circle One: Full Page ½ Page ¼ Page
($200) ($100) ($50)
Actual size 7 1/2 x 10 3¾x5 1¾x2½
Please email all ads to: jjdallaschapterads@yahoo.com
□ Check if a picture is included (Full and ½ page ads only)
A $10 fee per picture is required
□ Please check if advertiser is a member of the Dallas Chapter of Jack and Jill
I, the undersigned, approve the attached advertisement. I have enclosed the sum of
$_________Check# ____________payable to Jack and Jill of America Inc.
Signature:___________________________
Title:_______________________________
Sign-Off
Souvenir Journal Committee (white copy) ______________________________
Beautillion Financial Committee (yellow copy) ______________________________
Chapter Financial Committee (pink copy) ______________________________