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Public Web Site Advertising Order Form
eForm for public advertisers to submit your request to advertise in the Long Canyon web site classified section.

Company Name:*
Contact Name:*
Address:*
City, State, Zip:*
Phone Number:*
E-mail address:
Web Site Address:
Requested Classification (i.e. Restuarant, Real Estate. Final decision made by community):*
Ad Header (used as a link to the main ad copy, up to 30 characters):*
Ad Copy (up to 50 words):*
Desired Run Time (minimum 2 months at $15/month):*
Desired Start Date:*
Please send: 1) Copy of any flyer, menu or coupon you would like as part of your advertisement. 2) Full payment by check made out to: Long Canyon Homeowner's Association. 3) Mail to Raezel Poplawski, 8511 Bell Mountain Drive, Austin, TX 78730.
To prevent automated SPAM, please enter 72QD to submit your form (case sensitive):*
 

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