Jerland Tribute Jerland Ad Order Form Step 1 of 2 50% Jerland Arabians Tribute book honoring the legacy of Larry Jerome. This feature will be printed in an issue that will be available at US Nationals and offered as its own hard covered bound limited edition book. Contact Name* First Last Contact Phone*Please provide a valid phone number in case we have any questions. Contact Email* Sales Representative Name:* Enter the name of the sales person you worked with on this ad, if none, please enter none.Address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Ad Size 1/2 Page (Limit 2 photos) - $400 Full Page (Limit 3 photos) - $775 Would you like a hardcover copy? Yes No Answer Yes to receive a hard cover copy of the special piece, it is an additional $75.00.Jerland adHorse #1 InformationHorse Registered Name* Sire x Dam* Major accomplishments (please limit 3 or generalize - “Multi-National Top Ten”) Owner Name* Owner City, State* Horse #2 InformationHorse Registered Name* Sire x Dam* Major accomplishments (please limit 3 or generalize - “Multi-National Top Ten”) Owner Name* Owner City, State* Horse #3 InformationHorse Registered Name Sire x Dam Major accomplishments (please limit 3 or generalize - “Multi-National Top Ten”) Owner Name Owner City, State Quote for ad. (Please keep the word count to approximately 120 words or less per page. Therefore a third page … 40 words or less. Half page … 60 words, ect)4% Credit card fee $0.00 Total $0.00 * By hitting submit, you will be redirected to PayPal to complete your payment. Note: You do NOT need a PayPal account to pay, simply select "Pay with Debit or Credit Card" on the next page and you can complete your payment without an account.