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Name
REQUIRED

First

Last
Phone Number
REQUIRED

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Email
REQUIRED
This is where we will be sending all correspondence and approval for this Ad Design.

INFORMATION ABOUT YOUR BUSINESS

Type of business:
REQUIRED
Business Name: REQUIRED

Business Address:
REQUIRED

 

NOTE:
Enter n/a in Address Line 2 if there is no suite no.


Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
List any landmarks or cross streets:
For example: Next to a certain shopping center or off a certain street if you want it in the ad.
Business Phone: REQUIRED

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Business Fax Phone:

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Website

Brief description about your business
REQUIRED

Give us a few lines about the business, your service or products. Information you may want to be in the Ad Design.

List your offers and specials: Example: 10% off, Buy one get one FREE, etc.
List a few selling points: Example: Largest facility in North Texas", "Best prices around", "25 Years experience" etc.

Upload up to 3 images


IMAGE FORMAT: .jpeg, .pdf, .gif, .psd, & .tif
IMAGE RESOLUTION: 300 pixels Minimum. Any lower images may be undesirable.
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