Planet Patchwork Bazaar Listing Form

BUSINESS NAME:_______________________________________________

MAILING ADDRESS____________________________
______________________________________

NAME OF CONTACT: ___________________________

DAYTIME TELEPHONE: _________________________

E-MAIL ADDRESS ____________________________

DO YOU WISH AN E-MAIL LINK FROM YOUR LISTING? _____Yes _____No

TEXT OF LISTING (up to 300 words)_______________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________

DO YOU HAVE A WEB SITE? ______ Yes ______No

DO YOU WISH TO INCLUDE A LINK IN YOUR LISTING? _____Yes _____No
IF SO, WHAT IS THE URL? ________________________

DO YOU WISH A GRAPHIC (SUPPLIED BY YOUR COMPANY, OR WE WILL SCAN FROM PHOTO OR DRAWING) TO BE DISPLAYED IN YOUR LISTING? (Note: Gifs can be sent as e-mail attachments or on floppy disk.) __________Yes ________No

Return this form either by e-mail or snail mail to:

Robert Holland
The Virtual Quilt Company
140 Ridley Circle
Decatur, GA 30030-1117

Enclose a check or money order for $49.99 U.S. funds made out to "The Virtual Quilt" Your request will be acknowledged by e-mail when received and your listing will be posted by the third business day following receipt of all needed information.

 

(c) Copyright 1995-2012 by The Virtual Quilt Company. All rights reserved.

 


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