AMERICAN CHEER POWER
NATIONAL PROGRAM AD GYM TOTAL SUMMARY SHEET

-  Only one of these forms needs to be submitted by the gym.
-  All ads must be submitted on a computer CD.  (You may scan your ad in and save it as a jpeg.)
-  You may mail as many CD's as you like but please paper clip or rubber band each Program Ad Form to it's CD so we know
   what SIZE each ad should be.
-  One check, money order or credit card for the total amount of all ads must accompany your CDs.  All checks should be made
   payable to American Cheer Power.
-  Mail or Fed-Ex your CDs with attached forms, this summary sheet and payment to:
   American Cheer Power   201 Spruce   Dickinson, TX  77539

School/Squad Name___________________________________________________________________________________

Address____________________________________________________________________________________________

City____________________________________________State_____________________Zip________________________

Coach's Name____________________________Day Phone______________________EvePhone____________________

Please note the TOTAL number of ads sold in the far left column and monetary total in the far right column.
 

_______
 
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:                                                                                           GRAND TOTAL$_________
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________________________________