Submit an Ad or Well Wishes for the Program Book Ad Upload for White & Red Ball 2023 Step 1 of 7 14% 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/No ad to be printed Donation Amount* Name* First Last Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code PhoneEmail* I wish to give credit to Debutante(s)* Not Designated Katie Bozek Veronica Chudoba Julie Chyzynski Natalia Czernecka Emilia Dubiel Eliza Incledon Veronica Marganska Emilia Radlinski Elisabeth Skorupa Ania Smetek Kamila Wojdyla How many ads would you like to purchase?*12345 Ad 1Ad 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 1* My ad is complete and ready for the book Create an ad for me Use the same ad as last year (Ad 1) Supporter Line Text exactly as it should appear in the Program Book*This is the line of text will appear across from the Debutante's picture in the Program. Please note you are limited to 75 characters total. (Ad 1) Donor Name as to Appear in Program Book* (Ad 1) Year of Presentation* (Ad 1) Future Deb/Escort Name* (Ad 1) Former Deb/Escort Meal Selection*Filet MignonHalibutVegetarian(Ad 1) I wish to be seated next to:Please note that a Former Debutante/Escort Ad must include a picture of the Debutante in her white dress or escort in a tuxedo.(Ad 1) Please upload your ad*We reserve the right to edit the ad as necessary.Max. file size: 50 MB.(Ad 1) Please enter your ad information in the space below with exact wording and precise details for ad creation*(Ad 1) Page number of previous year's ad*Last year's program book can be found here(Ad 1) Please enter your updated text in the space below with exact wording to be updated on your previous year's ad.*(Ad 1) Files/Pictures for Ad Creation Drop files here or Select files Max. file size: 50 MB, Max. files: 3. Ad 2Ad 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 2* My ad is complete and ready for the book Create an ad for me Use the same ad as last year (Ad 2) Supporter Line Text exactly as it should appear in the Program Book*This is the line of text will appear across from the Debutante's picture in the Program. Please note you are limited to 75 characters total. (Ad 2) Donor Name as to Appear in Program Book* (Ad 2) Year of Presentation* (Ad 2) Future Deb/Escort Name* (Ad 2) Former Deb/Escort Meal Selection*Filet MignonHalibutVegetarian(Ad 2) I wish to be seated next to:Please note that a Former Debutante/Escort Ad must include a picture of the Debutante in her white dress or escort in a tuxedo.(Ad 2) Please upload your ad*We reserve the right to edit the ad as necessary.Max. file size: 50 MB.(Ad 2) Please enter your ad information in the space below with exact wording and precise details for ad creation*(Ad 2) Page number of previous year's ad*Last year's program book can be found here(Ad 2) Please enter your updated text in the space below with exact wording to be updated on your previous year's ad.*(Ad 2) Files/Pictures for Ad Creation Drop files here or Select files Max. file size: 50 MB, Max. files: 3. Ad 3Ad 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 3* My ad is complete and ready for the book Create an ad for me Use the same ad as last year (Ad 3) Supporter Line Text exactly as it should appear in the Program Book*This is the line of text will appear across from the Debutante's picture in the Program. Please note you are limited to 75 characters total. (Ad 3) Donor Name as to Appear in Program Book* (Ad 3) Year of Presentation* (Ad 3) Future Deb/Escort Name* (Ad 3) Former Deb/Escort Meal Selection*Filet MignonHalibutVegetarian(Ad 3) I wish to be seated next to:Please note that a Former Debutante/Escort Ad must include a picture of the Debutante in her white dress or escort in a tuxedo.(Ad 3) Please upload your ad*We reserve the right to edit the ad as necessary.Max. file size: 50 MB.(Ad 3) Please enter your ad information in the space below with exact wording and precise details for ad creation*(Ad 3) Page number of previous year's ad*Last year's program book can be found here(Ad 3) Please enter your updated text in the space below with exact wording to be updated on your previous year's ad.*(Ad 3) Files/Pictures for Ad Creation Drop files here or Select files Max. file size: 50 MB, Max. files: 3. Ad 4Ad 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 4* My ad is complete and ready for the book Create an ad for me Use the same ad as last year (Ad 4) Supporter Line Text exactly as it should appear in the Program Book*This is the line of text will appear across from the Debutante's picture in the Program. Please note you are limited to 75 characters total. (Ad 4) Donor Name as to Appear in Program Book* (Ad 4) Year of Presentation* (Ad 4) Future Deb/Escort Name* (Ad 4) Former Deb/Escort Meal Selection*Filet MignonHalibutVegetarian(Ad 4) I wish to be seated next to:Please note that a Former Debutante/Escort Ad must include a picture of the Debutante in her white dress or escort in a tuxedo.(Ad 4) Please upload your ad*We reserve the right to edit the ad as necessary.Max. file size: 50 MB.(Ad 4) Please enter your ad information in the space below with exact wording and precise details for ad creation*(Ad 4) Page number of previous year's ad*Last year's program book can be found here(Ad 4) Please enter your updated text in the space below with exact wording to be updated on your previous year's ad.*(Ad 4) Files/Pictures for Ad Creation Drop files here or Select files Max. file size: 50 MB, Max. files: 3. Ad 5Ad 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)Ad 5* My ad is complete and ready for the book Create an ad for me Use the same ad as last year (Ad 5) Supporter Line Text exactly as it should appear in the Program Book*This is the line of text will appear across from the Debutante's picture in the Program. Please note you are limited to 75 characters total. (Ad 5) Donor Name as to Appear in Program Book* (Ad 5) Year of Presentation* (Ad 5) Future Deb/Escort Name* (Ad 4) Former Deb/Escort Meal Selection*Filet MignonHalibutVegetarian(Ad 5) I wish to be seated next to:Please note that a Former Debutante/Escort Ad must include a picture of the Debutante in her white dress or escort in a tuxedo.(Ad 5) Please upload your ad*We reserve the right to edit the ad as necessary.Max. file size: 50 MB.(Ad 5) Please enter your ad information in the space below with exact wording and precise details for ad creation*(Ad 5) Page number of previous year's ad*Last year's program book can be found here(Ad 5) Please enter your updated text in the space below with exact wording to be updated on your previous year's ad.*(Ad 5) Files/Pictures for Ad Creation Drop files here or Select files Max. file size: 50 MB, Max. files: 3. Payment InformationTotal $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 Pauline Kulka 205 S Peoria, Unit 1402 Chicago, IL 60607 Please print your order confirmation to include with your check and write the order number in the Memo line.