Pink Aid Ads & Tributes

2023 Journal Ads and Tribute Form

Co-Chairs Ali Dorfman (dorfmanali@gmail.com) and Randi Lehrman (lehrman24@optonline.net). Deadline Sept 1st.
NAME*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
CONTACT PHONE

Area CodePhone Number
CONTACT EMAIL*
example@example.com
Select Journal Advertisement/Tribute(s):*

$1,000 Full Page Advertisement 4.5"wide x 7.5" high$500 Half Page Advertisement 4.5"wide x 3.5" high$250 Quarter Page Advertisement 2" wide x 3.5" high$100 Per Tribute (To appear in Journal as "DONOR NAME IN MEMORY/HONOR OF TRIBUTE NAME")
The person giving this tribute is: (donor name)*
The person receiving this tribute is: (tribute name)*
My tribute is *
Select for additional Tributes:
The person giving this tribute is: (donor name)*
The person receiving this tribute is: (tribute name)*
My tribute is *
Select for additional Tributes:
The person giving this tribute is: (donor name)*
The person receiving this tribute is: (tribute name)*
My tribute is *
^{Additional Information:}^{Submit ads (}^{pdf format, black & white/grey scale, high res pdf; 300 dpi) to Susan Robinson at susanr@pinkaid.org by August 25th. Your payment can be mailed to}^{Pink Aid,}^{PO Box 5157, Westport, CT 06881 or pay by}^{credit card: Journal Ad/Tributes Payment.}^{For any other questions co}^{ntact Susan Robinson.}
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