Ad Upload for White & Red Ball 2022 Would you like to Purchase an Ad/Program Listing or give a Donation?* Ad/Program Book Listing Donation- I do not want my name in the Program Book Donation Amount* Name* First Last Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code PhoneEmail* How many ads would you like to purchase?*12345Ad Selection*Please select the type of ad you would like to purchase. Please note that prices include processing and handling fees.Full- Page Gold Border ($1,545.00)Full-Page Silver Border ($1,030.00)Full- Page Standard ($515.00)Half-Page ($309.00)Quarter-Page ($206.00)Supporter ONE LINE name and a brief message up to 75 characters (accross from the Debutante Picture) ($103.00)Donor ONE LINE name only (no message) ($51.50)Future Debutante/Escort ($31.00)Former Deb/Escort Only - Full-Page Post Debutante/Escort & 1 ticket Combination ($385.00)Former Deb/Escort Only - Full-Page Ad ONLY ($257.00)Former Deb/Escort Only - Half-Page Ad ONLY ($155.00)Ad Selection 2*Please select the type of ad you would like to purchase. Please note that prices include processing and handling fees.Full- Page Gold Border ($1,545.00)Full-Page Silver Border ($1,030.00)Full- Page Standard ($515.00)Half-Page ($309.00)Quarter-Page ($206.00)Supporter ONE LINE name and a brief message up to 75 characters (accross from the Debutante Picture) ($103.00)Donor ONE LINE name only (no message) ($51.50)Future Debutante/Escort ($31.00)Former Deb/Escort Only - Full-Page Post Debutante/Escort & 1 ticket Combination ($385.00)Former Deb/Escort Only - Full-Page Ad ONLY ($257.00)Former Deb/Escort Only - Half-Page Ad ONLY ($155.00)Ad Selection 3*Please select the type of ad you would like to purchase. Please note that prices include processing and handling fees.Full- Page Gold Border ($1,545.00)Full-Page Silver Border ($1,030.00)Full- Page Standard ($515.00)Half-Page ($309.00)Quarter-Page ($206.00)Supporter ONE LINE name and a brief message up to 75 characters (accross from the Debutante Picture) ($103.00)Donor ONE LINE name only (no message) ($51.50)Future Debutante/Escort ($31.00)Former Deb/Escort Only - Full-Page Post Debutante/Escort & 1 ticket Combination ($385.00)Former Deb/Escort Only - Full-Page Ad ONLY ($257.00)Former Deb/Escort Only - Half-Page Ad ONLY ($155.00)Ad Selection 4*Please select the type of ad you would like to purchase. Please note that prices include processing and handling fees.Full- Page Gold Border ($1,545.00)Full-Page Silver Border ($1,030.00)Full- Page Standard ($515.00)Half-Page ($309.00)Quarter-Page ($206.00)Supporter ONE LINE name and a brief message up to 75 characters (accross from the Debutante Picture) ($103.00)Donor ONE LINE name only (no message) ($51.50)Future Debutante/Escort ($31.00)Former Deb/Escort Only - Full-Page Post Debutante/Escort & 1 ticket Combination ($385.00)Former Deb/Escort Only - Full-Page Ad ONLY ($257.00)Former Deb/Escort Only - Half-Page Ad ONLY ($155.00)Ad Selection 5*Please select the type of ad you would like to purchase. Please note that prices include processing and handling fees.Full- Page Gold Border ($1,545.00)Full-Page Silver Border ($1,030.00)Full- Page Standard ($515.00)Half-Page ($309.00)Quarter-Page ($206.00)Supporter ONE LINE name and a brief message up to 75 characters (accross from the Debutante Picture) ($103.00)Donor ONE LINE name only (no message) ($51.50)Future Debutante/Escort ($31.00)Former Deb/Escort Only - Full-Page Post Debutante/Escort & 1 ticket Combination ($385.00)Former Deb/Escort Only - Full-Page Ad ONLY ($257.00)Former Deb/Escort Only - Half-Page Ad ONLY ($155.00)Year of Presentation* Former Deb/Escort Meal Selection*Filet MignonFishVegetarianPlease note that a Former Debutante/Escort Ad must include a picture of the Debutante in her white dress or escort in a tuxedo.Please upload your ad(s) Drop files here or Select files Max. file size: 50 MB. Please enter your ad information in the space below if you have not uploaded one.I wish to give credit to Debutante(s)* All Debutantes Equally Julia Borek Kalina Boksa Kaya Wzorek Kayla Wisneski Klaudia Jarek Maeve Ciesla Marianna Mosz Maya Pawlusiewicz Monica Lebensztejn Rachel Carlson Total $0.00 Are you paying via Check or Credit Card?* Check Credit Card Credit Card*Card Details Cardholder Name Please make checks payable to: Legion of Young Polish Women Mail to: Legion of Young Polish Women c/o Natalia Ladzinska 324 S Cedar Ave Wood Dale, IL 60191
