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Yellow Directory Advertising Form
Please fill out completely and return to address on bottom of form (print Microsoft Word form).
Business Listing Information:
 
Business Name: ___________________________________
 
Primary Street Address: _____________________________
 
City, State: _______________________________________
 
Billing Address: ___________________________________
 
City, State: _______________________________________
 
Primary Phone: ___________________________________
 
Fax: ____________________________________________
 
Business Contact: _________________________________
 
Email Address: ___________________________________
 
Company Website: ________________________________
 
Other: __________________________________________
 
Other: __________________________________________
 
 
 
X__________________________________________
Signature authorizes to list with D&HH Business Directory by DHHC.
This applicant hereby requests the advertising described above to be placed on the DHHC. Internet Directory and acknowledges having read, understood and agreed to the terms and conditions on the reverse side of this order form. This is a Solicitation from a private independent publisher—not the TTY/phone company—you are under no obligation to.
 
 
Advertising Rates: Rates are per issue. We also offer discounts for quarterly* and annual advertising.
  •  
    LISTINGS: Please check the desired level of advertisement.
  • LISTINGS:
    Please check the desired level of advertisement.
        price for SERVICES / Personal Support
  • 􀂆 BASIC.....................................$29 / year
  • 􀂆 LOGO......................................$9 / year
  • ENHANCEMENTS:
    All enhancements are available for all listings
    except REGULAR listings.
     
    􀂆 E-MAIL...............................$ free
    􀂆 DIRECTIONS / MAPS......$3 / year
    􀂆 WEB / URL .......................$5 / year*
    􀂆 PRINT.................................$5 / year
    􀂆 INFORMATION....................$free
     
    ADDITIONAL CATEGORIES:
    � WEBSITE LINKS../.................$ free
    􀂆 FLYER......................................$ free
    􀂆 FLYER......................................$ free
    __________________________________
    TOTAL...........................$______________________
    LISTINGS:
    Please check the desired level of advertisement.
       price for PRODUCTS / Personal Business
  • 􀂆 BASIC......................................$109 / year
  • 􀂆 LOGO.......................................$79 / year
  • ENHANCEMENTS:
    All enhancements are available for all listings
    except REGULAR listings.
     
    􀂆 E-MAIL...............................$5 / year
    􀂆 DIRECTIONS / MAPS......$9 / year
    􀂆 WEB / URL .......................$14 / year*
    􀂆 PRINT.................................$14 / year
    􀂆 INFORMATION....................$5 / year
     
    ADDITIONAL CATEGORIES:
    � WEBSITE LINKS....................$89 / 3 year**
    􀂆 FLYER......................................$30 / month*
    􀂆 FLYER......................................$15 / week*
    __________________________________
    TOTAL...........................$______________________
     
    METHOD OF PAYMENT: (ORDER FORMS RECEIVED WITH SIGNATURE BUT WITHOUT PAYMENT WILL BE INVOICED).
     
    􀂆 Cheque payable to: Mirek Swiecicki
    􀂆 Money order payable to: Mirek Swiecicki
    􀂆 Bill Me
     
     
     
    Sign Name (Please print):______________________________________________        
                       
    Return completed form with complete payment to:
    83 Harmer Drive, Newcastle, ON, L1B 1P7 or Fax: 905.987.3839
     
    *5 - 25% discount depend package deal. 
    ** Full business name.

    ADVERTISING: You can also order by email or through one of our visiting sales representatives. To order by mail: Print out the order form, choose the appropriate list to display your business services, fill it out, send us your copy logo, along with a payment and your business card. We will send you a confirmation when we receive your order.  

    PLEASE READ ALL LINES IN TERMS AND CONDITIONS CAREFULLY: PUBLISHER HOLDS NO RESPONSIBILITY IN COPY OR SIZE ERRORS. You are hereby authorized indicated by my signature to insert advertising in the following issue (one time) of the DHHC Internet Advertising, for which I or my company promise to pay the whole and/or remaining balance of my account subject to the INTERNET TERMS AND CONDITIONS.

     

     

     

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