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Gateway Pregnancy Centers

33rd. Annual Stewardship Banquet

Souvenir Journal Response Form


(see below for ad sizes and rates)

Please return this form to Gateway with full payment


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Ad copy or attach artwork (black and white only)
____________________________________________
____________________________________________
____________________________________________
____________________________________________
____________________________________________
Name: _______________________________________________________________________
_____
Business name: ________________________________________________________________

Address: _____________________________________________________________________

City: ______________________________________State:_________Zip:_________________

Phone: ( )___________________ Ad size desired: _____________________ (see reverse)

Total amount enclosed: $ ______________

”I am unable to place an ad but please accept my gift of $______________

Gateway Pregnancy Centers, Inc.


P.O. Box 1793, Union, New Jersey 07083
(973) 399-8378 e-mail: dean@gateway.org

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