Vendor Guide on which
Your Listing Should Appear:

Business Name:
(Listing Title; may be a variation of your business name)

Business Street Address:
(if none for publication, enter "Serving Chicagoland")

City, State ZIP:
(if 'Serving Chicagoland,' enter "N/A")

Website URL:
(if none, enter "N/A")

Email Address:
(in none, enter "N/A")

Re-enter Email Address:
(in none, enter "N/A" again)

Phone Number:

Fax Number:
(if none, enter "000 000 0000")

Text Paragraph for Listing:
Will appear as ONE paragraph.
Max size = 750 characters.

You have characters left.

Keyword/phrase Linking
Enter one keyphrase, no longer than 4 words, in each of the below fields. Each keyphrase must be a phrase that appears in the listing description you supplied in the above field. These phrases will be linked to any page within your website that you choose. Keyphrases can be no longer than four words each. See example

Keyword/phrase #1:

Linked to URL:

Keyword/phrase #2:

Linked to URL:

Keyword/phrase #3:

Linked to URL:

Special Discounts/Freebies:
Receives free Vendor Coupon.
Please limit to approx. 75 characters.

Listing Term:

12-Month Best Value Rate!

3 Months @ $21.95/month = $65.85
6 Months @ $21.95/month = $131.70
12 Month Best Value! = $235.00
Requesting Quote as part of Multi-Ad Campaign

Contact Person:

Business that Referred You (if any):

 I have read the Advertiser Agreement and will abide by the terms set therein.