The Green Vale School is a 501c3 charitable organization. Journal Ads are tax-deductible as allowable by law.

THE GREEN VALE SCHOOL . 250 VALENTINE’S LANE . OLD BROOKVILLE . NY 11545 TEL: 516 621 2420 . WWW.GREENVALESCHOOL.ORG

THE GREEN VALE SCHOOL SPRING GALA FAMILY/PERSONAL AD OPPORTUNITIES

PLEASE REFER TO EXAMPLES ON REVERSE - FILL OUT AND RETURN THIS FORM: DEADLINE IS MARCH 31, 2015.

Contact Information:

Name: ____________________________________________________________________

Address: ___________________________________________________________________

Phone Number: _____________________ Email: _______________________________

Reserve in the 2015 Spring Gala Journal:

All Patrons will be listed on a special page in the Journal. Thank you for your support! ¨ Full Page - Patron Package (includes two $250 tickets and a full color page) @ $1,200 ¨ Full Page - Color @ $600 ¨ Full Page - Black & White @ $500 ¨ Half Page - Black & White @ $300 ¨ Quarter Page - Black & White @ $150

Payment Method:

This form is also available for electronic payment online at the Green Vale School website. ¨ Check attached payable to “The Green Vale School” ¨ Charge to my Green Vale Account ¨ Please charge my credit card: ¨ Visa ¨ MC ¨ Amex ¨ Other __________________

Name on card ______________________________________ Exp. Date _____________

Card # ____________________________________________ CSV _________________

Signature __________________________________________ Date _________________

Instructions:

Please return, or fill out the online form, at your earliest convenience. Once your page is reserved please email your image, and a few lines of text, to Journal Chairs Marguerite Ellinger (mcellinger@gmail.com) or Mara Silverstein (marasilverstein@gmail.com). If you would like to place a Corporate Ad in the 2015 Spring Gala Journal please contact Vasilianna Fakiris (vfakiris@optonline.net) or Regina LaFaire (reginameadelafaire@gmail.com) for details.