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| NAME/COMPANY: | _______________________________ | MAIL TO: Shore Pop Warner PO Box 341 West Long Branch, NJ 07764 |
| STREET: | _______________________________ | |
| CITY: | _______________________________ | |
| ZIP: | _______________________________ | |
| PHONE: | _______________________________ | |
| YOUR WEB SITE: | www.___________________________ | Please make checks payable to: Shore Pop Warner |
| EMAIL: | _______________________________ | |
| FAX: | _______________________________ | |
| CONTACT: | _______________________________ |
| TYPE | STANDARD | LARGE | JUMBO |
| HOMEPAGE & SPONSOR PAGE | $150 | $200 | $250 |
| SECONDARY PAGE AND SPONSOR PAGE | $100 | $150 | $200 |
| SPONSOR PAGE ONLY | $50 | $75 | $100 |
| TOTAL: | $______ | $______ | $______ |
ATTACH GRAPHIC OR TEXT, E.G. BUSINESS CARD, LETTERHEAD, BROCHURE, MENU, ETC.
ANY QUESTIONS CALL JACK CAMPBELL @ (732) 263-1472
OR