This document is a form for placing advertisements in a journal. It requests contact information from advertisers including name, address, email, phone numbers. It lists the rates for different sizes of ads including diamond, platinum, gold, silver pages and full or half page ads. The deadline for ad submissions is listed as Erev Rosh Hashanah, September 8, 2010. Payment options of check or credit card are provided along with instructions that ads received after the deadline may still be included based on availability.