Advertising Information Form

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ADVERTISING ORDER FORM
CATEGORY YOU'D LIKE TO LIST IN
COPY ($5.00 per word, including abbreviations)
NUMBER OF WORDS (Eight word minimum)	@ $5.00 EACH = $
COMPANY INFORMATION: $15.00
NAME
ADDRESS
PHONE NUMBER
SUBTOTAL (MINIMUM $55.00)	$
YELLOW HIGHLIGHTING $25.00	$
ADD 7% GST $	$
TOTAL $	$
INFORMATION FOR PROCESSING ORDER
NAME OR COMPANY
ADDRESS
CITY
PROVINCE
POSTAL CODE
DAYTIME PHONE NUMBER
FAX NUMBER
EMAIL
PLACED BY