REGIONS ONLY – 2025 AD PACKAGE INSERTION FORM

THIS FORM IS FOR SUBMITTING REGIONAL PACKAGE ADS.
If you want to purchase a standard ad for a club or individual to honor a colleage, go to this link.
 

Order your 2025 Convention Tribute Journal Ad here. 
You can find details on ad categories at this link.

Total Amount

Select individual(s) you'd like to honor.

Honoree Selection Suggestions

If you selected "Other," please name your other honoree in the "Text of Ad" field below.

Payment Options
 
[x] N/A

Paste or Upload your Ad (recommended) in the respective field below. Uploaded ads must be in Microsoft Word or PDF format ONLY.  If you are attaching a file, please leave the "Text of Ad" field below empty except for a note about any special instructions you'd like to include.

Ad Details
Leave this blank if you're attaching a file. You can include a note here for special instructions.
Attach file in Microsoft Word or PDF format only.