HaYidion Advertising

Please fill out this form to place an ad in the upcoming issue of HaYidion.

Please email Elliott Rabin for more information about ad specs and deadlines.

Below, please choose from the dropdown choices how many ads you would like to place in this issue.

Full Page Ad [inside cover] (includes ad in one Facets email newsletter)

Full Page Ad (includes ad in one Facets edition)

Half Page Ad

Quarter Page Ad

Total Amount

HaYidion Organization

Organization Name *

Phone (Main) *

Email (Main) *

Street Address *

City *

Postal Code *

Country *

State / Province *

Organization Logo

Website

Please provide a 2 sentence description of your organization.

Please complete the fields below:

Individual Prefix *

First Name *

Last Name *

Organization *

Position Title *

Email *

Phone *

Street Address *

Street Address Line 2

Country *

City *

State *

Postal Code *

Credit Card

If you have a PayPal account, you can click the PayPal button to continue. Otherwise, fill in the credit card and billing information on this form and click Continue at the bottom of the page.

Checkout securely. Pay without sharing your financial information.

Card Type

Card Number *

Security Code *

Expiration Date *

My billing address is the same as above

Billing Name and Address

Billing First Name *

Billing Middle Name

Billing Last Name *

Street Address *

City *

Country *

State/Province *

Postal Code *