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Community Directory – Personal Ad Form

Please use this form to place a Personal ad in our Annual Community Directory.

    Your name (required)

    Your email (required)

    Business Name (optional)

    Your Phone Number (required)

    Select Ad Size (required)
    No ad - Names OnlyFull Page - $100Half Page - $85Quarter Page - $60Space Previously Reserved (Combo Ad)

    How will you send your Ad? (required)
    No ad - Names OnlyPlease use same as last yearNew Camera Ready Ad will be sent separatelyNew Digital Ad will be emailed to

    Acceptable Ad Formats:
    300dpi min, TIFF, Adobe PDF, JPG, GIF, and Microsoft Publisher.

    Children's Names ($10 each - one per line)

    Grandchildren's Names ($10 each - one per line)

    Great Grandchildren's Names ($10 each - one per line)

    Pet's Names ($10 each - one per line)

    Simchas ($10 each - one per line)

    Memorials ($10 each - one per line)

    NOTE: For your Ad to be included, you must:
    1) Submit your order here, and
    2) Remit your Payment using an approved payment method. See below.

    Where should we look for your payment?
    Check (no processing fee)PayPal (fee required, percentage varies)Venmo (fee required, 3%)Qgiv (Credit Card, Debit Card, E-Check - fee required, 4.25%)

    Payment can be made by:
    Check Payable to CBTBI.
    Send to Diane Shapiro at 39 Jacqueline Place, Sewell NJ 08080.
    PayPal (click here)
    Venmo (click here)
    Qgiv (click here)

    For questions, call Diane at 856-740-0081 or email

    Are you a Human (sorry, we have to ask)?

    Please answer this question: