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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 ([email protected]) or Mara Silverstein ([email protected]). If you would like to place a Corporate Ad in the 2015 Spring Gala Journal please contact Vasilianna Fakiris ([email protected]) or Regina LaFaire ([email protected]) for details.
