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Advertisement Form
Place an ad in honor of a nominee or organization.PLEASE NOTE: Third and Half page ads should be horizontal. Full page ads are vertical. Thanks!
2023 WOD Advertising form
Advertisement Form (Pay Online Here)
Applicant Information
Company/Organization Name
Street Address
City
State
AK - Alaska
AL - Alabama
AR - Arkansas
AZ - Arizona
CA - California
CO - Colorado
CT - Conneticut
DC - Washington, D.C.
DE - Delaware
FL - Florida
GA - Georgia
HI - Hawaii
IA - Iowa
ID - Idaho
IL - Illinois
IN - Indiana
KS - Kansas
KY - Kentucky
LA - Louisiana
MA - Massachusetts
MD - Maryland
ME - Maine
MI - Michigan
MN - Minnesota
MO - Missouri
MS - Mississippi
MT - Montana
NC - North Carolina
ND - North Dakota
NE - Nebraska
NH - New Hampshire
NJ - New Jersey
NM - New Mexico
NV - Nevada
NY - New York
OH - Ohio
OK - Oklahoma
OR - Oregon
PA - Pennsylvania
RI - Rhode Island
SC - South Carolina
SD - South Dakota
TN - Tennessee
TX - Texas
UT - Utah
VT - Vermont
VA - Virginia
WA - Washington
WI - Wisconsin
WV - West Virginia
WY - Wyoming
AS - American Samoa
GU - Guam
MP - Northern Mariana Islands
PR - Puerto Rico
VI - Virgin Islands
FM - Federated States of Micronesia
MH - Marshall Islands
PW - Palau
AA - America
AE - Europe
AP - Pacific
Zip code
Contact Person-First Name
required
Last Name
required
Email Address
required
Phone Number (***) ***-****
required
(***) ***-****
Congratulatory ad for Nomine:
Advertisement Payment Information
I (we) would be pleased to donate at the following advertisement level:
required
$550 - Full Page Color -Vertical (4 ¾ x 7 ¾) – Print ready
$350 - Half Page Color-horizontal (3 7/8 x 4 ¾) – Print ready
$250 - Third Page Color-horizontal (2 ½ x 4 ¾) – Print ready
$100 - Friends of Soroptimist - Name listed in program
Billing First Name
Billing Last Name
Billing Address Line 1
Billing Address Line 2
Billing City
Billing State
AK - Alaska
AL - Alabama
AR - Arkansas
AZ - Arizona
CA - California
CO - Colorado
CT - Conneticut
DC - Washington, D.C.
DE - Delaware
FL - Florida
GA - Georgia
HI - Hawaii
IA - Iowa
ID - Idaho
IL - Illinois
IN - Indiana
KS - Kansas
KY - Kentucky
LA - Louisiana
MA - Massachusetts
MD - Maryland
ME - Maine
MI - Michigan
MN - Minnesota
MO - Missouri
MS - Mississippi
MT - Montana
NC - North Carolina
ND - North Dakota
NE - Nebraska
NH - New Hampshire
NJ - New Jersey
NM - New Mexico
NV - Nevada
NY - New York
OH - Ohio
OK - Oklahoma
OR - Oregon
PA - Pennsylvania
RI - Rhode Island
SC - South Carolina
SD - South Dakota
TN - Tennessee
TX - Texas
UT - Utah
VT - Vermont
VA - Virginia
WA - Washington
WI - Wisconsin
WV - West Virginia
WY - Wyoming
AS - American Samoa
GU - Guam
MP - Northern Mariana Islands
PR - Puerto Rico
VI - Virgin Islands
FM - Federated States of Micronesia
MH - Marshall Islands
PW - Palau
AA - America
AE - Europe
AP - Pacific
Billing Zip
Card Type
required
Card Number
Exp Month
01 - January
02 - February
03 - March
04 - April
05 - May
06 - June
07 - July
08 - August
09 - September
10 - October
11 - November
12 - December
Exp Year
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
2037
2038
2039
2040
2041
2042
2043
2044
Card Verification #
Visa, MasterCard, or Discover:
the three-digit card verification number can be found on the back of the card.
American Express:
the four-digit card verification number can be found on the front of the card.
Camera-ready ads (pdf, jpeg, png) may be emailed to: ads4wod@gmail.com
To receive full benefits, please return this form and payment by September 30, 2023. We want to make sure you are properly recognized. Please contact ads4wod@gmail.com with any questions. Thank you for your generosity!
Special Notes/Comments
Verification
required
Advertisement Form (Pay by Check Here)
Applicant Information
Company/Organization Name
Street Address
City
State
AK - Alaska
AL - Alabama
AR - Arkansas
AZ - Arizona
CA - California
CO - Colorado
CT - Conneticut
DC - Washington, D.C.
DE - Delaware
FL - Florida
GA - Georgia
HI - Hawaii
IA - Iowa
ID - Idaho
IL - Illinois
IN - Indiana
KS - Kansas
KY - Kentucky
LA - Louisiana
MA - Massachusetts
MD - Maryland
ME - Maine
MI - Michigan
MN - Minnesota
MO - Missouri
MS - Mississippi
MT - Montana
NC - North Carolina
ND - North Dakota
NE - Nebraska
NH - New Hampshire
NJ - New Jersey
NM - New Mexico
NV - Nevada
NY - New York
OH - Ohio
OK - Oklahoma
OR - Oregon
PA - Pennsylvania
RI - Rhode Island
SC - South Carolina
SD - South Dakota
TN - Tennessee
TX - Texas
UT - Utah
VT - Vermont
VA - Virginia
WA - Washington
WI - Wisconsin
WV - West Virginia
WY - Wyoming
AS - American Samoa
GU - Guam
MP - Northern Mariana Islands
PR - Puerto Rico
VI - Virgin Islands
FM - Federated States of Micronesia
MH - Marshall Islands
PW - Palau
AA - America
AE - Europe
AP - Pacific
Zip code
Contact Person-First Name
required
Last Name
required
Email Address
required
Phone Number (***) ***-****
required
Congratulatory ad for Nomine:
Advertisement Payment Information
I (we) would be pleased to donate at the following advertisement level
required
$550 - Full Page-Vertical Color (4 ¾ x 7 ¾) – Print ready
$350 - Half Page-Horizontal Color (3 7/8 x 4 ¾) – Print ready
$250 - Third Page Horizontal Color (2 ½ x 4 ¾) – Print ready
$100 - Friends of Soroptimist - Name listed in program
Camera-ready ads (pdf, jpeg, png) may be emailed to: ads4wod@gmail.com
To receive full benefits, please return this form and payment by September 30, 2023. We want to make sure you are properly recognized. Please contact ads4wod@gmail.com with any questions. Thank you for your generosity!
Special Notes/Comments
Verification
required
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2023 Women of Distinction
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