Classified Ad Order Form | www.thederrick.com | The Derrick

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Classified Ad Order Form

To Place a Classified Line Ad - Please submit the following information:
(Ad must be received in our department prior to 3:30pm EST for the next publication day Monday thru Friday; Ads for Saturday must be received in our department prior to 3:00 P.M. Friday.)

All Ads will appear the first day under the "New Today" category.

Offics Hours are Monday - Friday 8am - 5pm
Call 814-677-8300 or 1-800-352-1002
Fax: 814-677-8351

Last Name: *

MI:

First Name: *

Email Address: *

Address Line 1: *

Address Line 2:

City: *

State: *

Zip: *

Home Phone:

Daytime Phone: *

Start Date requested: *

Number of days you want your ad to run: *

Enter information for your ad, exactly as you want it to appear in the newspapers: *

Please enter any Special Instructions:

Enter the Name of a Graphic Header to run along with your ad (additional $4.50):

(Available Graphic Headers Are shown to the Right, for an Additional $4.50)

Have we billed you before?: *

If your answer is No, or we can not locate any credit history, your ad may require pre-payment. If so, we will notify you of the cost.

Available Graphic Headers:

Attract More Attention to Your Ad for Only an Additional: $4.50

To include one of the following logos in your ad, place the logo's name in the Special Instructions box.

HotDeal

Awesome

Bargain
BARGAIN.jpg (15989 bytes)

Bestbuy

Hurry

Look
LOOK.jpg (16606
bytes)

OpenHouse
OPENHSE.jpg
(19694 bytes)

MustSee
MUSTSEE.jpg
(18311 bytes)

Sharp
SHARP.jpg (18472
bytes)

SaveBig
SAVEBIG.jpg (17361 bytes)

SuperBuy
SUPERBUY.jpg (16641 bytes)

Wow
WOW.jpg (20592 bytes)

Bargain2
BARGAIN2.jpg (15893 bytes)

Wanted
WANTED.jpg (22289 bytes)

Bargain3
BARGAIN3.jpg
(11372 bytes)