Ad Submission Form for ScrewMachinist.com

Print this form, fill it out and mail it with your check and business card.

Name of Company___________________________________________

Address___________________________________________________

City, State, Zip______________________________________________

Phone #____________________   Contact Person_______________________

Type of Ad (help wanted, company listing, etc)__________________________________________

Location of Ad or link http:// www. __________________________________________________

I would like my listing to read: (please print clearly)

 ___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

If you wish me to create your ad, you will need to have the content information typed and enclosed with this form.  For photos, you may provide links, disks, or e-mail them to davenman@sprintmail.com.  Be sure to reference this submission when e-mailing.

Location of Photos:

www. ______________________________________________________________

www._______________________________________________________________

www._______________________________________________________________

Please make check payable to Larry Austin

Amount paid _____________                Check Number____________

If you have any other information that you want included, please enclose it.