Mall Advertising Form

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Print and Fill out this form, then mail it to:

Adlines, LLC P.O. Box 1564 Kennesaw, GA 30144

or : phone for information (770) 426-7020

Phone hours: 10:00am to 5:00pm M-F Ads: 50 words or less

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Name ____________________________ Cash ___ Check ___ Money Order ___

Address __________________________ Check #:_________ Amount Paid #:_______

City ______________ State__ Zip ______

Telephone # (____)__________________

check appropriate boxes

AutoMall ___RV Mall ___ Bargain Mall ___ Real Estate Mall ___ Shipyard___(category)
year_________ make ________ model ________ 4 __________ 5 ___________
6 __________ 7 __________ 8 ___________ 9 __________10 ___________
11 __________12 __________13 ___________14 __________15 ___________
16 __________17 __________18 ___________19 __________20 ___________
21 __________22 __________23 ___________24 __________25 ___________
26 __________27 __________28 ___________29 __________30 ___________
31 __________32 __________33 ___________34 __________35 ___________
36 __________37 __________38 ___________39 __________40 ___________
(no charge for) price __________phone # (____) _____ - __________

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