2019 Program Book Ad Form

Deadline for all submissions: Tuesday, April 30th

Only four students are allowed per ad.
Phone *
By selecting an ad size, you agree to pay the amount shown.
Is this a specialty ad? *
Specialty ads include more than one image and cost an additional $10. By selecting this option, you agree to pay the $10 fee.
Will you be supplying your own picture(s)? *
If you are using your own picture, it must be a high quality photo. The printer may refuse the picture based on the quality of the image. If submitting your own picture(s), you must scan and email them to susan@misskelleys.com by the deadline.
Is this ad sponsored? *
These ads are tax deductible for businesses. If you would like to include a business card in your ad, please scan and email it to susan@misskelleys.com by the deadline.
Please provide as much information as possible about the costume and the pose appearing in the ad. (Example: blue tap costume with feathers at the neck, right hand is on hip). Any and all information is helpful, such as pants, dress, shorts, fringe, sitting on ladder, both hands behind head, etc.
Please type all information as you would like it to appear in the ad. The printer makes every effort print your ad exactly as written, however, Miss Kelley's is not responsible for any misspellings or omissions.
Payment Agreement *
Party Responsible for Payment *
Party Responsible for Payment