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LAVMC Old Days 2025 Donation Form

LAVMC, Old Days 2025 Insertion Order / Donation Form

Authorized Applicant Information Name / Your Name: Other Business Name(s): Email Address: Contact Phone: Membership Status:

Member Non-Member

Premium Pages (Color, Excludes Discounts)

Back Cover (8.0x5.0) $389	Back Cover (8.0x5.0) $349
Center 1-Page (8.0x5.0) $389	Center 1-Page (8.0x5.0) $349
Inside Covers (8.0x5.0) $369	Inside Covers (8.0x5.0) $349
Outside Center Pages (8.0x5.0) $369	Outside Center Pages (8.0x5.0) $349

Ad Donation Selection

Full Page (8.0x5.0) $389	Full Page (8.0x5.0) $369
Half Page (4.0x5.0) $189	Half Page (4.0x5.0) $169
Third Page (2.5x5.0) $109	Third Page (2.5x5.0) $99
Business Page Sponsor Listing $69	Business Page Sponsor Listing $59

Additional Options

In House Artwork $20
Special Club Member Discount: Pay Member Ad Price + $30

Payment Information

Total Donation Amount:

Mailing Check (Payable to LAVMC):
LAVMC, PO Box 13, Los Alamos, CA 93440

Authorization

By signing, I have the authority to sign for this entity and hereby release LAVMC & affiliates from any claims, damages, or liabilities related to this event. I understand my printed name hereto represents my signature and legally acts as my signature by hand.

Authorized Signature (Printed Name): Date:

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LAVMC Spring Fling

LAVMC Old Days

For more information, to donate, or to volunteer,

please contact: [email protected]

Contact

(805) 619-8631

[email protected]

429 Leslie Street, POB 13, Los Alamos, CA 93440

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