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Yes
No
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add "Other"
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Adult
Auto
Body - Mind - Spirit
Employment
Hotline Line Ads (these appear on the back page and are $5/word/issue)
Marketplace
Real Estate
Services
Research
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add "Other"
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Name of Person Ordering the Ad
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Name of Company Ordering the Ad (if this is for a business)
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Email Address:
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Billing Address (must be a complete address)
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Phone Number
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Have you published with us before?
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Classified Ad Category
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Headline Text for Print
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Body Paragraph Text for Print
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What Wednesday Issue would you like to start running your ad in?
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Any other information you'd like us to know?
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