Premium Publishing Corp., 958 Coxwell Ave., Toronto M4C 3G3

Tel: 416-423-6547 Fax: 416-423-5115

LISTING FORM: Don't be left out of our next issue! Advertise your shop or service in the Spring/Summer 2012 issue of Help's Here! Resources for Seniors & Caregivers for as little as $125 plus HST. Circulation of 60,000 copies per issue (estimated at more than 150,000 readers). Please print this form and fax it or mail it to the above address. Thank you for your support!

CHOOSE YOUR CHAPTER: (See the Fall/Winter edition for list) Chapter:__________________

REQUEST A CATEGORY WITHIN THAT CHAPTER: Category:_________________________

FILL IN YOUR LISTING INFORMATION BELOW: If you would prefer to use your address line as an information line instead, please feel free to do so.

Company Name:

Phone:

Spring/Summer 2012 Issue

Address or descriptive line of up to 35 characters:

 

$125.00

Additional line (maximum 35 characters -- $25)

 

$25.00

Additional line (maximum 35 characters -- $25)

 

$25.00

Additional line (maximum 35 characters -- $25)

 

$25.00

Additional line (maximum 35 characters -- $25)

 

$25.00
Listings must be prepaid to guarantee placement in the Spring/Summer 2012 issue. We will contact you at the above number to arrange payment, or fill out credit card information below and fax back to 416-423-5115.
Subtotal
HST (13%)
Total

VISA or MC #

Expiry Date

Authorized Signature

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© 2011 Help’s Here!™ Premium Publishing Corp.
958 Coxwell Avenue, Toronto Ontario M4C 3G3 416-423-6547
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