HaYidion Advertising

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

For more information and for the advertising deadlines for upcoming issues please email Elliott Rabin.

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

Contribution Amount *

HaYidion Advertisement Fee - $ 500.00

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 below for the primary contact of the org:

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 *