Contact Information

First Name
Last Name
Title
Organization/Business
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Business Contact
Work Phone
Home Phone
FAX
E-mail

Ad Size - Check One
Benefactor* - 6" x 7.5" - $15,000     Diamond - 6" x 7.5" - $10,000     Platinum - 6" x 7.5" - $5,400     Gold - 6" x 7.5" - $1,800     Silver - 6" x 7.5" - $1,000     Bronze - 6" x 7.5" - $750     Full Page - 6" x 7.5" - $400     Half Page - 6" x 3.75" - $250     Quarter Page - 3" x 3.75" - $125     Business Card - 3" x 2" - $50     Heritage Student - 20 words maximum - $18          *Benefactor includes tickets for table of 8 at the  Scholarship Dinner.
Uploading Instructions
1.	All ads must be received by March 3rd 2008.
2.	Please do not upload files larger than 3 megabytes.
3.	Please upload only images that end in: .jpg .bmp .tif .doc .rtf .pdf .txt
4.	Upload your camera-ready ad or photo here:
5.	Please include text in the box below to accompany your photo:
Payment
Ad copy can also be sent along with this form and a check to the Heritage Academy office at:
594 Converse Street • Longmeadow, MA • 01106 tel. (413) 567-1517 • fax. (413) 567-2167 denise@heritageacademy.org