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.
Ads
Ad Type:
Please Select
Leave blank if you are not placing an ad
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
*Leave blank if you are not placing an 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 and Dedication
Greeting
- $36
Dedication
(Birthday/Anniversary/Yahrtzeit) - $54.00
Calendar Sponsorship
- All levels of sponsorship are welcome and appreciated!
Greeting / Commemoration / Sponsorship Type:
Please Select
Greeting
Birthday/Anniversary/Yahrtzeit
Calendar Sponsor
Based on your selection above, please provide the requested details below (e.g., greeting text, dedication information, sponsorship selection, or names as applicable).
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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Last Name
Credit Card Number
Security Code
Expiration Month
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Expiration Month
Expiration Year
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