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Rockbridge Weekly Newspaper Display Ad Order Form
P.O. Box 1331, 31 W. Washington St.
Lexington, VA 24450
For your convenience, we have provided the following display or classified display ad order form. You may also call the Rockbridge Weekly at (540)464-6600, to place your order by phone.
Your Information
Your Name:
Your Address (line 1)
Your Address (line 2)
Your City, State Zip
Your Area Code and Phone Number
Your Email Address
Is this a display or classified display ad order?
Ad Title
Ad Size - Columns wide x inches deep
Total Column Inches x $8.35 per inch=PRICE
Insertion Dates (list all, please)
How Copy Will Be Sent
Your Fax Number For Proof (Area Code plus number)
Payment Method...
BY CHECK OR MONEY ORDER
Please make sure all the information is filled out correctly, then print this page and mail the printout along with your remittance to the address at the top of the page.
BY CREDIT CARD
Type of Credit Card Master Card - - - VISA
Credit Card Number
Expiration Date /


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