Art Calendar Submission Form
Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Ad Type:
Please Select
Ad type #1: Business Card (3.35” x 2”)
Ad type #2: Calendar box: (1.5" x 1.5")
Full-page ad
Half-page ad
Quarter-page ad
Back-page ad
Front-page business card ad
Based on your selection above, please indicate how many months you'd like your ad to appear (e.g., 1 month, 4–8 months, 6 months, 12 or 13 months, etc.).
Greeting / Commemoration / Sponsorship Type:
Please Select
Greeting
Birthday/Anniversary/Yahrtzeit
Calendar Sponsor
Based on your selection above, please enter how you would like the names to appear in your greeting / the commemoration type, date, and names of the individual(s) / your chosen sponsorship type.
Is there anything else you’d like us to know before we finalize your submission, please enter it here:
Payment
Forms of payment:
Credit/Debit Card:
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Check:
Please make payable to Chabad of Aspen Hill, 13411 Arctic Avenue, Rockville, MD 20853
CashApp:
$JCraftsMD
Zelle:
info@j
ewishaspenhill.com
Venmo:
@jcraftsbychabad
Please enter the dollar amount corresponding to your selected ad or sponsorship option above.
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Payment Methods
First Name
Last Name
Credit Card Number
Security Code
Expiration Month
January
February
March
April
May
June
July
August
September
October
November
December
Expiration Month
Expiration Year
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
2037
2038
2039
2040
2041
2042
2043
2044
2045
Expiration Year
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