Beacon Advertiser Payment Form Advertiser's Name(Required)Person responsible for ordering the advertisement. This person is the contact for follow-up. First Last Email(Required)This email is for the person who is ordering the advertisement, NOT the business email. Advertiser's Phone Number(Required)This phone number should reach the responsible party who ordered the advertisement.Business Name(Required) Ad size and duration(Required)Make your selection below. Business Card - Annual $125 Business Card - single month $15 Quarter Page - Annual $250 Quarter Page - single month $30 Half Page - Annual $500 Half Page - single month $60 Full Page - Annual $1,000 Full Page - single month $120 Roster Advertisement $20 Quantity(Required)Enter number of months or years to purchase.Total Consent I agree to the the following:Clicking the submit button will direct you to make your payment via credit card. Your purchase is not considered complete until you receive a confirmation from Temple Beth Ohr indicating completion of payment.