Southeastern Antiquing and Collecting Magazine
Antique Shop & Mall Directory Mail/Fax Form

The 1 Year
Package

* Listing for 12 months in magazine
* Listing on the Internet for 12 months
* 20 copies shipped to you each month

FOR ONLY......$294
This is only
$24.50 per month!

You will receive your listing in the magazine, your listing on the internet and
a package of 20 magazines shipped to you each month.

 

The 6 Month
Package

* Listing for 6 months in magazine
* Listing on the Internet for 6 months
* 20 copies shipped to you each month

FOR ONLY......$162
This is only
$27.00 per month!

You will receive your listing in the magazine, your listing on the internet and
a package of 20 magazines shipped to you each month.


Name:_____________________________________________   Date:_______________________

Business Name:______________________________________  Position:_____________________

Address:_________________________________________________________________________

City:______________________________   State:__________________  Zip:________________

Phone:__________________   Fax:___________________  E-mail:_______________________

Payment Method:  (     )Check     (      )Money Order     (      )Credit Card
Credit cards accepted:   (     )Visa      (     )Mastercard

Credit Card #:____________________________________  Exp. Date:____________________

Please choose the Antiquing in the Southeast Package desired:
(     )1 Year Package - $294           (     )6 Month Package - $162

PLACE YOUR AD COPY IN THE BOXES BELOW UP TO 50 WORDS.

1. 2. 3. 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.
41. 42. 43. 44. 45.
46. 47. 48. 49. 50.

Which months do you want your ad to appear?

(   )January (   )February (   )March (   )April (   )May (   )June
(   )July (   )August (   )September (   )October (   )November  (   )December

Mail your completed form to:

Southeastern Antiquing
P.O. Box 510
Acworth, GA  30101

If you are paying by credit card you may fax or e-mail us at:

If you live outside of the United States, payment must be in U.S. Dollars and in the form of a International Money Order, Credit Card, or Cash.
You may send CASH (U.S. Dollars) at your own risk.

For your security please do not include your credit card information in the e-mail.
Please call our Toll Free # with your credit card information after you e-mail the form.
Toll Free: 1-888-388-7827