Required Fields
Purchaser's Name:
Address:
City:
State:
Zip:
Phone Number:
Email Address:
Senior's Name(s):
Ad Size:
1/8 Page - $50
1/4 Page - $75
1/2 Page - $100
Full Page - $125
Method of Payment:
Cash
Check
Credit Card
When making cash payments
please deliver them to InfoCentral, located in Patroness Hall.
Check payments
may be mailed or delivered to InfoCentral, located in Patroness Hall. Please make checks payable to Graceland University - Acacia.
If you wish to make a
credit card payment
, please call 641.784.5067 and InfoCentral will process your payment.
Ad Design:
Would you like the staff of the
Acacia to design your senior's ad?
Yes
No
If no, please provide a brief description
of how you want the ad to look.
Photos may be submitted by e-mail to
acacia@graceland.edu
or regular mail to Acacia, Graceland University, 1 University Place, Lamoni, IA 50140. If you submit your photo(s) by mail, please provide the address where they should be returned.
Name:
Address:
City:
State:
Zip: