Derby Day Souvenir Journal Ad Submission Form
*Please submit one form per ad individually
Deadline: Purchase ads by April 15, 2025
Full Name
*
First Name
Last Name
Business Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Is this a Black owned business?
Yes
Ad Sizes (PayPal fees are included in total price)
*
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Full Page - $150
$
150.99
Half Page - $100
$
103.00
Donor name as it should be printed
*
File Upload (Ad in PDF, JPG, PNG formats accepted)
*
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