(1) PRINT OUT THIS FORM, fill in your information and mail with your payment to:
The Ad-Vertiser  P.O. BOX 1323, Moab, UT 84532. Or, (2) Bring completed form to
The Ad-Vertiser at 56 East 300 South, Moab, Utah. (3) FAX this form: 259-6918 if
you have an account with us or have made payment arrangement by phone.
Having this form will speed up the transaction and help avoid errors.
 
DEADLINE IS 12 NOON TUESDAY


Please write or type clearly: 


Name__________________________________Phone Number_____________________

Address_________________________________________________________________

City_______________________________ State__________________Zip____________
 _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ 

  MY AD SHOULD READ AS FOLLOWS: (PRINT 1 WORD PER BROKEN LINE)

_____________  _____________  _____________  ______________  _______________

_____________  _____________  _____________  ______________  _______________

_____________  _____________  _____________  ______________  _______________

_____________  _____________  _____________  ______________  _______________
                                                                                                                                        $4.00

      Additional words at 10¢ per word:

_____________  _____________  _____________  ______________  _______________

_____________  _____________  _____________  ______________  _______________

_____________  _____________  _____________  ______________  _______________

                                                                                                Additional words $___________

                                                                                                                TOTAL $___________
Make check payable to: The Ad-Vertiser

The Ad-Vertiser reserves the right to reject or revise any advertisement deemed objectionable. The publisher assumes no responsibility if for any reason it becomes necessary to omit any advertisement. Statements and/or claims by advertisers are not necessarily those of the publisher. The publisher does not vouch for or guarantee content of paid advertisements and assumes no responsibility except for typographical errors caused by the publisher.
Thanks for placing your ad in The Ad-Vertiser! See it on our web site Wednesday afternoon!