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Contact Information

Customer Name *

Address *

City *

State

Zip Code *

Phone Number *

Ad Type

Full-Page (Business charged full-page price) 1 Week $10.00
2 Weeks $15.00
4 Weeks $20.00
Not For Profit Events - FREE*

Want/Sell Ad 1 Week $5.00
2 Weeks $10.00
3 Weeks $15.00
4 Weeks $20.00

Greeting (includes birthday, anniversary, etc.) Full Page $5.00 (3 days)

Ad Information

Start Date *

End Date *

Message *

Billing Information

Adams Account Number

Attention Customers: If you do not have an Adams account, pre-payment is required before ad can run. Please send payments to: Adams Marketing Department, 405 Emminga Road, Golden, IL 62339

*Events Only - Ads such as employment for Nursing Homes, Hospital would be charged full-rate