2026 Graduation & Alumni Reunion Dinner Ticket and Journal Ad Form

Yes
2026 Graduation & Alumni Reunion Dinner Ticket and Journal Ad Form
You have the option to purchase the following on this form:
- One (1) Full Page Journal Ad and One (1) Dinner Tickets: $525
- Dinner Ticket(s): $175 per person
- Journal Ads:
  - One (1) Full Page Ad: $400
  - One (1) Half Page Ad: $250
  - One (1) Quarter Page Ad: $175
*Note: If paying by credit card, an additional processing fee will be added to your payment.
Contact Information
Organization Name:
Contact Name:*

First NameLast Name
Email Address:*
example@example.com
Phone Number:*
Please enter a valid phone number.Format: (000) 000-0000.
One (1) Full Page Journal Ad and One (1) Dinner Ticket PackageJournal AdDinner Ticket(s)Both Dinner Ticket(s) & a Journal Ad

Journal Ad Information
Full Page Ad Size: (5.5”W x 8.5”H)

Half Page Ad Size: (5.5”W x 4.25”H)

Quarter Page Ad Size: (2.75”W x 4.25”H)
Full Page Ad: $400Half Page Ad: $250Quarter Page Ad: $175
YesNo, I need my ad designed
Journal Ad Art (jpg, jpeg, png files accepted; Must be at least 300 dpi)*

Cancelof
YesNo
Logo File Upload*

Cancelof
Full Page Ad Message (Limit 70 Words)*

0/70
Half Page Ad Message (Limit 40 Words)*

0/40
Quarter Page Ad Message (Limit 25 Words)*

0/25

Payment Information
CheckCredit CardVenmo
Total Amount Due (Check/Venmo)
Total Amount Due (Credit Card)
Checks should be made out to: Leadership Rockland and mailed to PO Box 459, New City, NY 10956. Your check must be received by June 5, 2026 in order for your ad to be included in the journal.

As soon as we receive your payment, we will email you confirmation that payment has been received. Thank you!
Venmo payments should be directed to: @LeadershipRockland Your Venmo payment must be received by June 5, 2026 in order for your ad to be included in the journal.

As soon as we receive your payment, we will email you confirmation that payment has been received. Thank you!

Contact Information