FANDOM DIRECTORY
CLASSIFIED AD FORM

(25 cents per word. 25 words minimum.)



Name:
Business Name:
Street Address:
City:
State:
Zip/Postal Code:
Country:
Daytime phone:
Fax:
E-mail address:
Payment Method
Confirm via: Email Address Above FAX Number Above Call to Phone Number Above

Credit Card Number
Expiration (MM/YY)
How did you hear about our Web Site?
If other, please specify:
Ad Classification Category:


Put Your Classified Advertising Text Here (No HTML Code)

Word Count
Ad Cost ($.25 per word x Word Count)

Special Instructions (These Won't Be in Your Ad)