NTDD Commemorative Journal Payment Form
Name
*
First Name
Last Name
Cell Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
Confirmation Email
example@example.com
Organization/Business Name
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Business card
$
100.00
Quarter page - Color
$
150.00
Half Page - Color
$
250.00
Full Page - Color
$
500.00
Inside Back Cover
Only 1 available
$
750.00
Inside Front Cover
Only 1 available
$
750.00
Back cover
Only 1 available
$
999.00
Pay Via Check/Cash
Payment to be made via Check or Cash
$
Free
Payment Methods
Credit Card
Apple Pay
After submitting the form, you will be redirected to Apple Pay to complete the payment.
Google Pay
After submitting the form, you will be redirected to Google Pay to complete the payment.
ACH Bank Transfer
By checking “I agree” you understand that you will be responsible to make your donation for your journal advertisement prior to 4/30/2026. Any payments made after this date may result in you or your organization forfeiting your spot in our commemorative journal.
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