AMERICAN CHEER POWER NATIONAL PROGRAM AD FORM

- Give a copy to each Cheerleader/Dancer that wishes to purchase an ad. 
- All ads must be submitted on a computer CD.  (You may scan your ad in and save it as a jpeg.)
-  A check, money order or credit card must accompany your CD.  All checks should be made
   payable to American Cheer Power.
-  Please give this form, payment and CD of ad to your coach

School/Squad Name________________________________________________________________

Address___________________________________________________________________________

City____________________________________State________________Zip___________________

Coach's Name____________________________Athlete's Name___________________________

Day Phone_____________________________Eve Phone_________________________________
 


_______
 

Full Page Ad 8.5" X 11"

Business $250

Gym $150

$_______
_______ 1/2 Page Horizontal Ad
8.5" X 5/5"
Business $175 Gym $100 $_______
_______ 1/4 Page Vertical Ad
4.25" X 5.5"
Business $100 Gym $75 $_______
_______ Business Card Size Ad
3.5" X 2"
Business $75 Gym $50 $_______
_______ Good Luck One Line Ad Business $15 Gym $15 $_______
_______ Inside Front or Back Cover
Full-Page Ad 8.5" X 11"
Business $500 Gym $500 $_______
_______ Full Page in Wild West
8.5 X 5.5
Business $125 Business $75 $_______

PAYMENT INFORMATION:
Please select one form of payment for ad:  _____Check/Money Order

_____Visa  _____Mastercard  _____American Express  _____Discover

Credit Card Number:__________________________________________ Exp. Date_____________

Total Amount Charged to Card $_________________

Name as it appears on card:

First Name______________________ Middle Initial_______  Last Name_____________________

Signature of Cardholder_________________________________ Date_______________________