Placing a business services ad

Fill out the information below or call (918) 649-4712. If you want your business in additional listings, please fill out a form for each listing and send them all in at one time. If you have any questions, call the number above or send an email. If you have multiple locations, they can all be shown in the ad. When you send in the form, a check for the annual payment or first month's amount is due at that time.

Forms along with payment should be sent to: Craig Hall, P.O. Box 550, Heavener, Ok. 74937

NAME OF BUSINESS: _______________________

CATEGORY: _______________________

PHONE NUMBER: ____________________

STREET ADDRESS: ___________________

TOWN: _______________________

EMAIL ADDRESS: ______________________

WEB SITE ADDRESS: ________________________________

____________________________________________________________________________________

Billing information:

(__) Annual        (___) Semi-annual

Contact person: __________________

Phone number: _______________

Prefer to be billed by:         (___) email (Please list email address) ______________________

                                              (___) mail (Please list mailing address) ________________________________