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Resident Web Site Advertising Order Form
Order form to submit your request to advertise in the LC web site classified section.

Company Name:*
Contact Name:*
Address:*
Phone Number:*
E-mail Address:*
Web Site Address:
Requested Classification (i.e. Real Estate, Lawyer. Final decision is up to the community.:*
Ad Header (used as a link to the main copy, up to 30 characters):*
Ad Copy (up to 50 words):*
Desired Run Time ($10 per month):*
Desired Start Date:*
1) Copy of any flyer, menu or coupon you would like as part of your advertisement. 2) Full payment in check made out to: Long Canyon Homeowner's Association.
3) Mail to Raezel Poplawski 8511 Bell Mountain Drive
To prevent automated SPAM, please enter 5CR to submit your form (case sensitive):*
 

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