Advertising Information Request Form
Advertising Purchase Agreement

Please fill out the Advertising Purchase Agreement form completely and we will begin working on your advertising immediately. If you have any questions please contact us. Tel: 616 662-5123 Fax: 616 662-5133

 
Business Contact Info  
Contact Name:
Business Name:
Address:
City: State: Zip:
Phone Number:
E-mail Address:
Additional Notes:
Payment Information:

You can pay by Credit Card or by Check. If you pay by credit card, your personal or company info must match your credit card info. When paying by credit card, we will start on your add right away. Please allow two business days for your company to be added to the site.

If you choose to pay by check, we will not start on your add until we have received payment. You must still agree to the terms on this page.
Credit Card Number:   Expires:   3 Digit Code:
Check Payment: Make Payable to Free For All City Only! Advertisement will not begin until we have received payment. Send checks to: P.O. Box 2746 • Holland, MI 49422
Digital Signature
(I Agree that I have read the Terms and Policies and Acknowledge that this is a Binding Contract)
Once your order is received, a Free4AllCity agent will contact you.
You may Print the following confirmation page for your records. Free4AllCity will also send you a receipt once we process your order.