PBNHS Ad Form 2017
Please enter info for MEMBER PAID ADS and PAID ADS FROM BUSINESSES
All new photos & artwork should be emailed to wfileti@cox.net by 8/1/17
Photos and Artwork should be sent in high resolution Jpeg or PDF format
Checks and Credit Card forms should be mailed by 8/1/17 to:
PCCH Program Ads, P.O. Box 801, Palos Verdes Estates, CA 90274
Email address
PCCH Member Last Name
Your answer
PCCH Member First Name
Your answer
Member Status
Type of Ad
Business Name
Your answer
Business Address
Your answer
Business Contact Name
Your answer
Business Contact Email
Your answer
Size of Ad
Ad Design
New Ad Copy (Be Specific)
Your answer
New Ad Artwork Submitted?
Need Help? Please Explain.
Your answer
Payment
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