Advertising Format Form

The Advertising Format form is a supplementary form for adding additional features to your business advertisement. Please fill out all areas that have an asterisk* next to them. All other items are optional. Address, city, state and zip information on this form is requested ONLY if it is different from what is on the "Advertise with us" form.

Advertising Format

Please note that all fields followed by an asterisk must be filled in.

Business name:*
Business name:*

Your business hours*
Your business hours*

Brief description of your business:*
Brief description of your business:*

First Name*
First Name*

Last Name*
Last Name*

E-mail Address*
E-mail Address*

Street Address

City

State/Prov

Zip/Postal Code

Photo #1 Description:

Photo #2 Description:

Create image of business card as link?*
Create image of business card as link?*

	Yes
	No

Promotions you'd like to offer (up to 3 max)

Your terms for your promotions (Under 25 words)

May we link your website with ours?*
May we link your website with ours?*

	Yes
	No

Are you planning to link our site with yours?*
Are you planning to link our site with yours?*

	Yes
	No

Please enter the word that you see below.

Any photos, business cards or promotion information that you would like to include with your advertisements, must be forwarded to our mailing address which is in our "Contact Us" page. We recommend that you wait for a reply from us before forwarding any of these items to us for your ad. Items sent to us will not be returned and become the property of www.Get-Into-Cycling.com .

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