Name: ___________________________________________________________


 Business Name: ___________________________________________________________


       Address: ___________________________________________________________


          City: ___________________________________________________________


         State: _______________________________Zip:________________________


      Phone(s): ___________________________________________________________


       Link to: ___________________________________________________________


   Your E-mail: ___________________________________________________________


   Description: ___________________________________________________________
(up to 254 char)

                ___________________________________________________________


                ___________________________________________________________

Use this area to compute your total. Texas residents must
include the sales tax in their total.

     Price of ad: $36.00 for 1 or 72.00 for 2 or 3 ads. ___________


                   Texas residents add 8.25% sales tax:    $2.97


                            Grand Total for this order: ___________

Please check payment method:       

Money order: ______  Check: ______  Mastercard:______  Visa:______


 Account Number:   _______________________________________________


Expiration Date:   _______________________________________________



 Your Signature:   _______________________________________________

Mail this completed order form along with your money order, check, or credit card number to:

Peachtree Sales
733 West Miller Road
Garland, Texas 75041

Att: Paul L. Veilleux
Phone: 972-278-2031

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