Bettendorf High School

BaBy ad Order FOrm

Indicate the size of your ad, include your message (50-100 words, depending on ad size), and attach a photo. Do not send your only copy of a photo; although we make every attempt to treat photos with care, we cannot guarantee your photos will not be damaged. Number of photos for ad size: 1/8 page—one photo. Quarter page—one or two photos. Half page—one to three photos. Full page—one to four photos. You may include artwork or graphic images for half or full page ads.All ads are in color. If you want your photo returned, please include a stamped, self-addressed envelope.

Make checks or money orders payable to BHS Yearbook. Send this form, photo(s) and money to Yearbook Baby Ads, BHS, 3333 - 18th St., Bettendorf, IA 52722.

Name of person placing ad (please print) ________________________________________

Student name ____________________________________________________________

Address ________________________________________________________________

City __________________________________ State ______________ Zip __________

Daytime phone number _____________________________________________________

Email __________________________________________________________________

Ad Size

1/8 page

1/4 page

1/2 page

Full page

Price

$35.00

$70.00

$140.00

$280.00

Quantity Total

Message

Deadline: April 11, 2012Ads received after this date will be returned.

# of Photos ReceivedAssigned to

For Staff Use Only (initial at each step)

Date ReceivedDate Photos Scanned Date Placed on Page

Check Number (or cash)

Page # Return photo? Yes ___ No ___

Notes: