Thank you for supporting the 2019 Dinner Dance Gala.

First, please complete the form below to reserve your journal ad placement in the event program.

Second, please email your logo, artwork, or ad to dinnerdance@pelhamcivics.org.

Friends of the Pelham Civic Association will invoice you for the journal ad.

Name *
Name
Phone *
Phone
Select ad placement
If you prefer we create an ad for you, please write the text of your ad below.
Checkbox *
By completing this form, I understand and agree that I am reserving an ad placement and am responsible for the cost.