Please include the following in the message on this form:
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-Company name

-Contact person

-Phone number

-Location address

-Size of ad:  1/8  1/4   1/2   Full  
-6 months  or   1 year   

-How will you be paying for your ad?   Business check, money order or PayPal 

-Do you want us to design an ad for you? 
If so, please write something you had in mind for your ad.

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​-If you would like to add a coupon to your ad what would you like the coupon to be for?

-Would you like us to add a Facebook, Twitter or Google+ icon to your ad? If so, which one?