Your name (the person ordering the ad, not the senior) *
Your answer
Your phone number (we will contact you if we have a question) *
Your answer
Text for ad: (We reserve the right to edit your message for grammar, appropriateness, and length. Be aware of your word count in relation to the size of your ad.) *
Your answer
If you have a preference on how you would like your photos arranged, please explain here. We will do our best to design your ad as you wish.
Your answer
Number of photos you will submit for your ad: *
Your answer
How will you submit photos? (Emailed photos should be at least 300 dpi and in the largest file size possible. Jpeg format is preferred.) *
I understand that by submitting this form, I am agreeing to submit payment and photos by Oct. 28. *
A copy of your responses will be emailed to the address you provided.