ALHAMBRA SHRINE CIRCUS

Application for PROGRAM Advertisement

1000 Alhambra Drive

Chattanooga, TN  37421

Phone:  423-892-0223

Fax:  423-892-0224

www.alhambrashrine.com

 

 

Camp Jordan Arena

East Ridge Tennessee

October 9th-12th, 2014

 

 

     Firm Name ___________________________________________________

 

     Attention ____________________________________________________

 

     Address _____________________________________________________

 

     City, ST Zip _______________________   _______   _________________

 

     Telephone ___________________________ Ad Amount $ _________________

 

     Approved by:  ___________________________________

                                            Authorized Signature

Thank you for your support of the Alhambra Shrine Circus.  The proceeds are for Alhambra Shrine activities only.  Consult your tax professional as to your specific tax options if any.

 

     Solicited By  ________________________

 

     Solicitor's Unit or Club ______________________________

 

 

     Date _____________  Check Number __________  Cash ______  Invoice ______

 

 

     __________  1/4 Page, B&W, $125.00                                       Ad copy instructions:

 

     __________  1/2 Page, B&W, $200.00

 

     __________  Full Page, B&W, $350.00

 

     __________  Corporate Full Page, B&W, $500.00 With 32 Tickets and certificate of appreciation.

     

     __________  Full Page Color, inside pages, $700.00

 

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