On-Line Ordering Information Form

If you would like to order an Advertising Package from The Prattville Guide, please provide us with the following information and we will contact you as soon as possible.

Please provide the following contact information:

First Name

Last Name

Title

Organization

Street Address

Address (cont.)

City

State/Province

Zip/Postal Code

Country

Work Phone

FAX

E-mail

URL

Please select the Advertising Package you will need. Look at our Order Page for more information!

Package Selection

Enter today's date!

-- mm/dd/yy

Select any of the following options that apply: Where did you hear about The Prattville Guide?

From The Prattville Guide Web site?
From The J3 Company Network Web site?
From a member site of The J3 Company Network?
From an ad produced by J3?
From an Affiliate of J3?
From another member of J3?
Elsewhere on the Internet?
From a friend?
Other?

Would you like to include a company logo with your ad?

Yes No

*First Name*
*Last Name*
*Title*
*Organization*
*Street Address*
*Address (cont.)*
*City*
*State/Province*
*Zip/Postal Code*
*Country*
*Work Phone*
*FAX*
*E-mail*
*URL*

On-Line Ordering Information Form

The J3 Company Network, LLC. The Prattville GuideCopyright © 2007 The Prattville Guide. All rights reserved. Revised: 12/18/07

The J3 Company Network, LLC. The Prattville Guide
Copyright © 2007 The Prattville Guide. All rights reserved.
Revised: 12/18/07