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NAME:

BUSINESS/ORGANIZATION:

E-MAIL:

PHONE:

STREET:

SUITE NUMBER:

CITY:

STATE/PROVINCE:

ZIP CODE:

COUNTRY:

Our business requests the following type of ad:

To be featured at the following PawSitesOnline Realm:

We would also like to apply our 50% discount to run the same ad at the following PawSitesOnline realms
(Refer to list of guides from above)

Please list your exact web site address (URL) beginning with http://...

Please include your 60-word classified ad...
(be sure to include your contact information)

I Also Wish To Run A Photo With My Classified Ad ($10 extra):

(NOTE: Please e-mail .jpg or .gif photo to ads@pawsitesonline.com... )

My business is interested in becoming a Top-of-the-Page Sponsor for a PawSitesOnline page or site:

PAYMENT INFORMATION
Type of Payment:

Name as it appears on card:
Credit Card Number:
Expiration Date:
Mailing Address Where You Receive Credit Card Bill: (City, State not needed)

Zip Code Where You Receive Credit Card Bill:
CVV Number:
(What's A CVV Number? It is the 3 or 4 digit number displayed after your credit card number within the signature area on the back of your card. The CVV Number is not embossed on the front of the card)


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