Ad Upload 80th 2024 "*" indicates required fields 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 A Donation selection above does not provide a spot for you to place your well wishes in the program book. It instead is purely a donation. No Program Book benefits exist. If you prefer to have your well wishes placed in the book or your name displayed, please select the Ad/Program Book Listing option above.Donation Amount* Name* First Last Company / Organization Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code PhoneEmail* How many ads would you like to purchase?*12345 Ad 1Ad Selection*Please select the type of ad you would like to purchase.Full- Page Standard ($300.00)Half-Page ($200.00)Quarter-Page ($150.00)ONE LINE name and a brief message up to 80 characters ($25.00)Ad 1* My ad is complete and ready for the book Create an ad for me (Ad 1) One Line Text exactly as it should appear in the Program Book* Please note you are limited to 80 characters total. (Ad 1) Please upload your ad*We reserve the right to edit the ad as necessary.Max. file size: 512 MB.(Ad 1) Please enter your ad information in the space below with exact wording and precise details for ad creation*(Ad 1) Files/Pictures for Ad Creation Drop files here or Select files Max. file size: 512 MB, Max. files: 3. Ad 2Ad Selection 2*Please select the type of ad you would like to purchase.Full- Page Standard ($300.00)Half-Page ($200.00)Quarter-Page ($150.00)ONE LINE name and a brief message up to 80 characters ($25.00)Ad 2* My ad is complete and ready for the book Create an ad for me (Ad 2) One Line Text exactly as it should appear in the Program Book*Please note you are limited to 80 characters total. (Ad 2) Please upload your ad*We reserve the right to edit the ad as necessary.Max. file size: 512 MB.(Ad 2) Please enter your ad information in the space below with exact wording and precise details for ad creation*(Ad 2) Files/Pictures for Ad Creation Drop files here or Select files Max. file size: 512 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 Standard ($300.00)Half-Page ($200.00)Quarter-Page ($150.00)ONE LINE name and a brief message up to 80 characters ($25.00)Ad 3* My ad is complete and ready for the book Create an ad for me (Ad 3) One Line Text exactly as it should appear in the Program Book*Please note you are limited to 80 characters total. (Ad 3) Please upload your ad*We reserve the right to edit the ad as necessary.Max. file size: 512 MB.(Ad 3) Please enter your ad information in the space below with exact wording and precise details for ad creation*(Ad 3) Files/Pictures for Ad Creation Drop files here or Select files Max. file size: 512 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 Standard ($300.00)Half-Page ($200.00)Quarter-Page ($150.00)ONE LINE name and a brief message up to 80 characters ($25.00)Ad 4* My ad is complete and ready for the book Create an ad for me (Ad 4) one Line Text exactly as it should appear in the Program Book*Please note you are limited to 80 characters total. (Ad 4) Please upload your ad*We reserve the right to edit the ad as necessary.Max. file size: 512 MB.(Ad 4) Please enter your ad information in the space below with exact wording and precise details for ad creation*(Ad 4) Files/Pictures for Ad Creation Drop files here or Select files Max. file size: 512 MB, Max. files: 3. Ad 5Ad Selection 5*Please select the type of ad you would like to purchase. Full- Page Standard ($300.00)Half-Page ($200.00)Quarter-Page ($150.00)ONE LINE name and a brief message up to 80 characters ($25.00)Ad 5* My ad is complete and ready for the book Create an ad for me (Ad 5) One Line Text exactly as it should appear in the Program Book*Please note you are limited to 80 characters total. (Ad 5) Please upload your ad*We reserve the right to edit the ad as necessary.Max. file size: 512 MB.(Ad 5) Please enter your ad information in the space below with exact wording and precise details for ad creation*(Ad 5) Files/Pictures for Ad Creation Drop files here or Select files Max. file size: 512 MB, Max. files: 3. Payment InformationAre you paying via Check or Credit Card?* Check Credit Card Would you like to cover the processing fees?*Processing fees for using credit cards are 3%. To ensure we receive your full donation, please consider covering the processing fee. Yes No Processing Fees*Credit Card processing fees are 3% Price: $0.00 Processing Fees* Price: $0.00 Total Payment Method*PayPal CheckoutCredit Card American ExpressMasterCardVisaSupported Credit Cards: American Express, MasterCard, Visa Card Number Expiration Date Security Code Cardholder Name Please make checks payable to: Polish American Congress Mail to: Polish American Congress c/o Micheline Jaminski 984 N Milwaukee Chicago, IL 60642 Please print your order confirmation to include with your check and write the order number in the Memo line.