Word Ad Order Form - 2026 Malcolm Island Visitor Brochure 
A valid email address is required. A copy of the completed form will be sent to you giving you the opportunity to make corrections to your listing if necessary.
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Email *
Your contact information (for SRC use)
Please include the name, email address and phone number of the contact person submitting this ad in case we need to contact you for clarification purposes. This may or may not be the same info as in your ad.
First and Last Name *
Phone Number *
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This form was created inside of Sointula Resource Centre Society.