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(Alternative to online form: click here for PDF version of this form.)

ONLINE FORM:
Your Name (Last, First)
Phone:
E-mail:
I understand that my Shaare Zedek account will be billed the ad amount that I choose.
Select an ad choice:
My ad copy reads as follows (in parentheses include any formatting instructions):
Click here for a PDF file containing examples of ads.

Please select the appropriate choice regarding artwork:

My artwork will be faxed to: 314-727-0080

My artwork will be mailed to: Shaare Zedek, 829 N. Hanley Rd. St. Louis, MO 63130

My artwork will be emailed to gkodner@n-kcreative.com (in one of these acceptable file formats: .pdf, .jpg, .eps, .tiff)

I have no artwork to send, please use only the ad copy above.