Order Form For Your ‘Classified-Ad-System’

PRINT THIS PAGE OUT AND MAIL OR FAX YOUR ORDER TO THE ADDRESS BELOW.

To place your order by mail, please make your selection below. Make sure that you enter your 50 word or less classified ad in the space provided below.

Option #1_______To order My Classified-Ad-System Newsletter Distributorship send $197.00 Free S&H to the address below.

Option #2_______To order A Classified Ad On The Classified-Ad-System Newsletter send $97.00 Free S&H to the address below

Name:_________________________________________________________

Address: _______________________________________________________

City: _____________________ State: ________________Zip: _____________

Phone:_________________________Fax:_____________________________

Email:__________________________________________________________

We accept Visa, Mastercard and American Express

Name on Credit Card:______________________________________________

Card#________________________________Expiration__________________

Enter Credit Card Verification Number: ________( 3 or 4 characters ) Enter the 3 or 4 digit card verification number. On Visa, MasterCard it is a 3 digit number at the right end of the signature strip on the back of the card, after the account number. On American Express it is a 4 digit number on the front of the card, above the account number.

Signature_______________________________________________________

Send Check, Cash or Money Order To:
Selective Marketing P.O. Box 815. Hamilton, OH. 45012
For faster service fax credit card orders to: (513) 887-7010

Please Note: Your ‘Classified-Ad-System’ will be sent to you by priority mail within 7-14 days.

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