Ad Upload - pacillinois

PROGRAM BOOK ADVERTISING CONTRACT

Deadline for receipt of all ads is
October 4, 2024

Would you like to Purchase an Ad/Program Listing or give a Donation?(Required)

Ad/Program Book Listing

Donation

Donation Amount(Required)

Name(Required)

First Last

Organization/Company

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Phone

Email(Required)

How many ads would you like to purchase?(Required)

Ad Selection(Required)

Please select the type of ad you would like to purchase.

Ad 2 Selection(Required)

Please select the type of ad you would like to purchase.

Ad 3 Selection(Required)

Please select the type of ad you would like to purchase.

Ad 4 Selection(Required)

Please select the type of ad you would like to purchase.

Ad 5 Selection(Required)

Please select the type of ad you would like to purchase.

Ad 6 Selection(Required)

Please select the type of ad you would like to purchase.

Please upload your ad(s)

Drop files here or

Max. file size: 50 MB.

Please enter your ad information in the space below if you have not uploaded one.

Total

How would you like to pay?(Required)

Credit Card

Zelle

Electronic Check (ACH)

Check

Credit Card or Electronic Check (ACH)(Required)

For electronic check (ACH) payments, please select the Bank button.

Please make checks payable to:

Polish American Congress, IL Div

Mail to:

Polish American Congress, IL Division
c/o Chris Bozek
404 Broker Ave
Itasca IL 60143

Please send payments to:

Polish American Congress, IL Div
heritageawardbanquet@gmail.com

Please reference the order number in your Zelle Payment.