Application to Advertise My Business

Owners Name:_________________________

PLEASE PRINT

Owners e-mail:__________________________

OWNER'S INFORMATION:

Address:______________________________
_____________________________________
City/State/:_____________________________

BUSINESS INFORMATION:

County:__________ Home Ph:_____________
Bus. Ph.:__________ Cell:________________

DIRECTIONS TO SUBMIT APPLICATION:

Print this page out on your printer.  Fill out entire form.  Write in all information & check all appropriate spaces.  Mail this form to:         



E-mail us a photo of the business you are advertising or include a photo with your mailed application if you would like it included in your ad.  Be sure to include your check or money order with the application.  Checks should be may payable to George Nagy.  We do no accept credit cards.  In order to keep your advertising fees to a minimum we do not use the service of credit card companies.  By opting not to use this method of payment we can avoid passing the card company charges to us on to the advertiser.  Your ad will be posted online 48 to 72 Hrs. following receipt of your application and payment. 
                                           Thank you for visiting our site, George Nagy.

George Nagy
Website
1242 Fieldstone Ct.
Quakertown, PA 18951

Business Advertising Rates :
Single Ad:

Advertise for 60 Days ($129.00)_____ 
Advertise for 1 Year ($209.00)_____ 
Advertise for 1 Month ($29.00)_____ 

*** Additional pages linked to your main ad  such as a restaurant menu, listing of a large amount of items for sale, etc., will be charged a on time fee of $79.00. 

Business Name:___________________________ Information: You would like placed in your ad:
                                                                                  (Please Limit to 40 words or Less) 
Business Address:
______________________________

______________________________
City/State/:______________________
Business Ph. # :__________________
I acknowledge that I have read and agree with the Terms and Conditions of this site.Please check here.___