Niagara
Frontier Publications Classified Insertion Order |
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| Print this page, and fax, mail, or bring to the NFP office (see below). |
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Rate (select one):
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[ ] Reader Ad
Subtotal ________ x _____ weeks = Total ________ |
[ ] Commercial Classified Ad
Buy
2 weeks, get the 3rd free!
Subtotal ________ x _____ weeks = Total ________ |
Run for: # of Weeks: __________ or [ ] till cancelled (commercial only)
| Name | ____________________________________________________________ | ||||||
| Address | ____________________________________________________________ | ||||||
| City | ____________________________________________________________ | ||||||
| State | ________________________________ | Zip
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_____________________ | ||||
| Phone | ________________________________ | Date
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_____________________ | ||||
| Charge My |
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| Card # | _______________________________________ Exp. Date ____________ | ||||||
| Signature | ____________________________________________________________ | ||||||
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