WORK SHEET
PRINT THIS PAGE FOR A MAIL IN AD OR YOUR WORKSHEET

   
 YOUR FIRST NAME:  YOUR LAST NAME:
 STREET ADDRESS:  CITY:
 COUNTRY:  STATE / ZIP CODE:
 YEAR:  MAKE:  VEHICLE DESCRIPTION:
 SALE PRICE:
 HOME PHONE:
 MOBILE PHONE:
 EMAIL ADDRESS:
 USER NAME:
 PASSWORD:

AD TYPES and OPTIONS
PLEASE CIRCLE  CHOICES

 STANDARD AD $9.95 - 4 PHOTOS - RUNS 6 MONTHS

 DELUXE AD $19.95 - 8 PHOTOS - RUNS 12 MONTHS

 ADVANCED AD $29.95 - 12 PHOTOS - RUNS 24 MONTHS
INCLUDES FREE FEATURED OPTION

OPTIONS

 FEATURED $10.00  HIGHLIGHTED $5.00
 VIDEO $10.00 PRIORITY $ 10.00

TOTAL COST $ ____________________

PLEASE MAKE CHECK OR MONEY ORDER
PAYABLE TO
 DEBRON MARKETING

 MAIL TO:

 HOT RODS FOR SALE
 P.O. BOX 75163
 CINCINNATI, OHIO 45275