Purchase Relay Ad Space Date Date Format: MM slash DD slash YYYY Name* First Last Affiliated OrganizationEmail* Phone*Choose Size of AdvertismentFull Page AdHalf Page Ad1/4 Page Ad1/6 Page Ad1/8 Page AdAre You Submitting Your Advertisment with Payment?If yes, please upload below. Yes No Upload Artwork HerePlease upload high-resolution jpegs or pdfs only. For questions, please email Brittney Reilly at breilly@gnjumc.orgDo You Require Advertisment Design?This is a free service. Yes No If yes, please give as much detail on your ad.Things to keep in mind: Who is your target audience? What is your message? How should they contact you for more information? (website, email, phone, etc.) Do you have photos that should be used in the ad? (Please upload below.)Total $0.00 Cardholder's Address* Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Credit Card* American ExpressDiscoverMasterCardVisa Card Number Month010203040506070809101112 Year20212022202320242025202620272028202920302031203220332034203520362037203820392040 Expiration Date Security Code Cardholder Name
