Classifieds Print Form

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	Full Color Photos & Website - Ads Run 2 Months
	Small Photo Classified Ad with 35 Words, $29.95 Medium Photo Classified Ad with 35 Words, $49.95 Large Photo Classified Ad with 35 Words, $79.50 Feature Page Full Color + Inside Magazine in Color, $95.00 Front Page Full Color + Inside Magazine in Color, $99.95

	Full Color Photos & Website - Ads Run Until Sold
	Small Photo Classified Ad with 35 Words, $49.95 Medium Photo Classified Ad with 35 Words, $79.50 Large Photo Classified Ad with 35 Words, $99.50

Billing Information
First Name
Last Name
Address Line 1
Address Line 2
City
State
ZIP
Phone
Email

Payment Type
Card #
Expiration Date
Name on Card

Would you like to receive a magazine with your ad in it? ($Free US, $Free Int'l)	Yes No

Type your ad in this box (there is a limit of 255 characters including punctuation, spaces, etc.)

Please allow up to 48 hours before your ads appear online. You can either mail your ad photo or email it to us online (please use .jpg format for photo file). When you send in an order by using this form, and enter your email address, . Also, please e-mail your picture as an attachment in jpg format to connie@naglepublications.com