Bethany House Garden of Light Gala Program Advertising Form
Your advertisement will appear in the Garden of Light Commemorative Booklet, October 13, 2022.  
AD DEADLINES: Payment & Ads both MUST be received by Friday, September 30, 2022.
Please e-mail digital ads to bhnvgol@gmail.com.

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Email *
Name or Company Name *
Type the name of the individual or company as you desire it to be listed in the program.
Contact Name *
Name of the person Bethany House can contact with questions about the advertisement.
Contact Phone Number *
Business Address *
Write the address of the business or individual. This address is where Bethany House will send a receipt and or thank you letter.
Business Phone Number *
Choose an Ad Type *
Client Story Ad includes your company’s logo, name, URL, contact information, and special message (50 words or less) on a full page with a success story from a BHNV client)
Choose a Payment Option *
Please send or bring payments to Bethany House, attn: Garden of Light, 6601 Little River Turnpike, Suite 110, Alexandria, VA 22312.  If choosing card or online payment, we will send you a link to securely make your payment online, or you may come to the office to submit credit card payment.
A copy of your responses will be emailed to the address you provided.
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