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JDRF Program Journal
Package Name Amount Quantity Subtotal

Outside Back Cover Ad $0.00
Ad Size: 5.5" W x 8.5" H

Inside Front Cover Ad $0.00
Ad Size: 5.5" W x 8.5" H

Inside Back Cover Ad $0.00
Ad Size: 5.5" W x 8.5" H

Double Full-Page Ad $0.00
Ad Size: 4.5" W x 8" H, each page

Full-Page Ad $0.00
Ad Size: 4.5" W x 8" H

Half-Page Ad $0.00
Ad Size: 4.5" W x 3.75" H

Quarter-Page Ad $0.00
Ad Size: 2.125" W x 3.75" H

Yes, I would like to contribute to Fund A Cure

$0.00
I authorize Breakthrough T1D - Greater CT and Western Mass Chapter - 4090 to use the credit card entered on the submission page at event 2017 Promise Ball. Once the transaction has completed successfully, a confirmation receipt will be sent to the email address entered.