2025 Frostburg Elks Derby Day
Program Ad Only
Business/Organization Information:
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Business/Organization Name: _______________________________________________
Contact Name: _________________________________________________________
Mailing Address: _________________________________________________________
Contact Phone Number: ____________________________________________________
Contact E-mail Address: ___________________________________________________
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Fees
________ $100 Full Page
________ $50 Half Page
(Must send a new ad in PDF or JPEG form to scott_race@comcast.net)
________ Sponsor Logo on Driver Shirts $50
________ Total
Printed Name _____________________________ Signature _________________________________
Date _______________________
Return form and payment to:
Frostburg Elks Lodge #470
Attn: Derby Day
126 East Main Street
Frostburg, Maryland 21532
Contacts:
Jim Meyers 240.580.0938 Bill DeVore 301.268.3786