Mosaic Law Congregation

Complete this form to place a Business Ad in the Mosaic Law Congregational Directory!

STEP ONE
ENTER INFO
STEP TWO
CONFIRMATION
STEP THREE
RECEIPT

Business Ad in the Congregation in the MLC Congregational Directory

Please include any additional wording in the text box below

Qty

Description

Amount

Total

Outside back cover

$550.00

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Inside cover

$500.00

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Full page

$360.00

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1/2 page

$250.00

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1/4 page

$150.00

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1/8 page

$90.00

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1/16 page

$72.00

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A 3% processing fee will be added to your total.

Total: $0.00

Check here if you want to use the same Ad from last year.

Please enter your wording here. If your Ad includes a new photo or new artwork, please send it to: mosaiclawdirectory@gmail.com

Additional ad wording:

Donor Information

First Name: *

Last Name: *

Billing Address: *

This is the address where your credit card statements are mailed.

Address 2:

City: *

State / Province: *

Zip Code: *

Country: *

Telephone:

Email: *

A receipt will be emailed to this address.

Your Payment Information

Name on Card: *

Card Number: *

Security Code: *

Expiration Date: *

Name on Account: *

Routing Number: *

Account Number: *