Positive Change Magazine - Healthy Lifestyles, Conscious Living

CLASSIFIED LISTING SUBMISSION FORM

Every edition of Positive Change features a classified section that is well read by thousands of people. The cost is $1.50 per word and we require prepayment. Telephone numbers count as one word. The deadline for new submissions is the 15th of the month.

Please complete the following form for submitting your classified listing. We will not include the first five entries on your actual listing. Your listing begins with the highlighted teaser headline.
* Denotes required information

Your name *

Your telephone number *

Your complete address *

Your primary email address *

Month your first listing should appear *

Is this an ongoing listing that should run every month? Yes No

Highlighted teaser headline: *
(maximum of 7 words)

The rest of your listing *

Total amount due: *	$
	($1.50 X number of words)

Have you mailed your check to our address below? *

Comments

Thank you

Positive Change Media
1910 Robinhood Street
Sarasota, FL 34231