Please print out, fill out and mail to: Northport-East Northport Community Theater
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DEADLINE: April 30, 2012

"Annie Warbucks"

May 11, 12, 13, 18, 19, 20, 2012

Advertisement Order Form

Enclosed is my advertisement to be included in the

program of "Annie Warbucks"

(SOLD) Outside Back Cover $ 200.00

(SOLD) Inside Front Cover $ 175.00

______ Inside Back Cover $ 175.00

______ Special GOLD Page $ 175.00

______ Full Page $ 150.00

______ 1/2 Page $ 125.00

______ 1/4 Page $ 100.00

______ 1/8 Page (Business Card) $ 75.00

(If front and back cover are sold; we will make your ad a GOLD page)

Name ________________________________________________________________

Address ______________________________________________________________

Phone _______________________ Signature ____________________________

Credit Card: Visa _________ Master __________

Number: _____________________________________ Exp. Date _____________

Please make check payable to Npt. - E. Npt. Community Theater

Please send this sheet with your ad copy or business card and check to:

Northport Community Theater

P. O. Box 572

Northport, NY 11768

You may e-mail ad copy to bdsilver@optonline.net

Call (631) 896-5970 for additional information

THANK YOU for your SUPPORT!!

www.northportcommunitytheater.org