Madisonville North Hopkins HS
4515 Hanson Road
Madisonville, KY  42431
(270) 825-6017
[ Return Home ]  
Please fill out this entire form. Only click submit once!


Instructions: To purchase an ad, fill in the appropriate information below and click 'submit' when finished. You will be given the opportunity to upload images if you need to do so, or you may e-mail graphics, logos, or other such items to micki.clark@hopkins.kyschools.us. If you have a document (prepared ad, photograph, or business card) that will need to be scanned, please mail it to the school at the address above or bring it by the front desk during business hours. Thank you for your business! After placing your ad, you will have the opportunity to print a receipt and will receive information about tracking your advertisement.
Enter today's date:
Section 1: Contact Information
Your Name:
Business Name:where applicable
Street Address:
City, State, Zip:
Daytime Phone:
Fax Number: where applicable
E-mail: not required

Section 2: Advertisement Information
Advertisement Type:
Please select the correct ad type.
Ad Size
Please be sure to select the correct ad size (personal or business).

Would you like to purchase a yearbook? ($35.00 for businesses)

Would you like to donate yearbooks to our voucher program? ($35.00/ea)
Number of books:

Please provide the name of the staff member to receive credit for this sale.
Student Credit:

Ad Design:

Design Comments/Suggestions:



Ad Recipient: for personal ads


ONLY HIT THE SUBMIT BUTTON ONCE, PLEASE. DO NOT REFRESH THE PAGE OR HIT THE BACK BUTTON. To make corrections, please contact Mrs. Clark directly.

Content © 2008 Micki S. Clark unless specified otherwise.  All rights reserved.