2024 Graduation Ad Submission Form
Fill out the form carefully for registration. Please verify that all information is correct. All fields must be filled out.
Student Name
*
First Name
Middle Name
Last Name
School
*
Submissions
Brief note you would like to say to your special graduate. Limited to 25 words.
*
0/25
Let's show off that grad! Please place a high-quality photo of your Grad here!
*
Browse Files
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Ad Verification
*
I approve this ad and understand it will be printed as above. The Greater Ashland Beacon is not responsible for misspells, typos, etc...
Name of purchaser
*
First Name
Last Name
Contact E-mail
*
example@example.com
Mobile Number
*
Make a simple payment of $19.99
*
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Graduation Ads
How many ads would you like?
$
19.99
Quantity
1
2
3
4
5
6
7
8
9
10
IF YOU ONLY BOUGHT ONE AD SKIP TO PAYMENT AT THE BOTTOM
This information is not necessary if you only chose one ad. If you chose multiple ads please fill in the boxes below.
Second Ad
Second grads name and photo. If the same grad, please fill out accordingly.
First Name
Middle Name
Last Name
School
Message for second ad.
Second Ad Photo
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Third Ad
Third grads name and photo. If the same grad, please fill out accordingly.
First Name
Middle Name
Last Name
School
Message for Third ad.
Third Ad Photo
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Fourth Ad
Fourth grads name and photo. If the same grad, please fill out accordingly.
First Name
Middle Name
Last Name
School
Message for Fourth ad.
Fourth Ad Photo
Browse Files
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Choose a file
Cancel
of
Payment Methods
Debit or Credit Card
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Please click one of the PayPal options to complete payment and
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the form.
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