
Program Advertisement
Registration Form
419 Fieldpond Drive
Kingsport, TN 37664
Company Name:
______________________________________________
Contact Person: _______________________________________________
Street or Mailing Address: _______________________________________
City, State and Zip:
_____________________________________________
Phone # and extension: __________________________________________
Email Address: __________________________________________________
Please enclose ad copy. Please make copy photo or camera ready. If assistance
is needed to complete the ad, please let us know. All ads are printed in gray
scale or black and white.
Ad copy to be returned: _______Yes
________No
SIZE OF AD DESIRED:
FRONT COVER: $3,000_________ FULL PAGE: $200 _________
BACK COVER: $2,000 ________ HALF PAGE: $110 _________
INSIDE COVER: $ 500
________ FOURTH PAGE: $ 60 _________
FACING PAGE: $ 400 ________ BUSINESS CARD: $ 45 _________
Please consider the Caitlyn Elliott Duncan Memorial Fund as well. Please refer to the Scholarship section for
more information and a registration form. Program ad and Scholarship monies can
be combined and submitted on one check when mailed together.
Thank you for helping support
Intercity Ballet Theatre
Intercity contact person ___________________ Phone # _______________________
updated 11-17-06