Please print this form and fill out completely.
Your Name__________________________________________________________________________
Address ____________________________________________________________________________
City __________________________________ State_______________________ Zip ______________
Phone_____________________________________ Country__________________________________
Contact Person ______________________________________ Check # ________________________
Please choose a username: ____________________________________________________________
Please choose a password: ____________________________________________________________
How long would you like to run your AD? (Please Check One)
( ) Until Sold ($24.95)
Important: We MUST have your correct email address in order to send your instructions!
Email ______________________________________________________________________________
Website? ___________________________________________________________________________
Which Category would you like to add your listing to?
___________________________________________________________________________________
AD Content: (Please use back side if necessary)
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
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Print out this order form and enclose
check or money order payable to:
Lynn Tjaden
1637 200th Street
Canby, MN 56220
Ph: 507-828-2209
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