Bargain Hunters Advert Submission Form
Sales Person Name
Business Name
*
Owner/ Manager Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
County (Market)
*
If National Account input National
Phone Number
*
-
Area Code
Phone Number
Email
*
example@example.com
Type of Ad
*
Bargain
Advert
Event
Other
Details of Bargain or Event. (If Advert put N/A)
*
My Products
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( X )
Interactive Online Ad
$20.00
$
20.00
Nat'l Interactive Online Ad
$100.00
$
100.00
1/8 Page Advert
$50.00
$
50.00
1/4 Page Advert
$150.00
$
150.00
1/2 Page Advert
$300.00
$
300.00
Full Page Advert
$600.00
$
600.00
Cover (4)
$700.00
$
700.00
Enter coupon
Apply
Total
$0.00
$
0.00
Credit Card
Image or File you'd like us to use with your Ad
Browse Files
Only Hi Resolution Files and Pictures
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of
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