| 1. |
Name of business: |
________________________________________________________________ |
| 2. |
Requested ad copy
(max. 750 characters):
|
________________________________________________________________ |
| ___________________________________________________________________________________________________ |
| ___________________________________________________________________________________________________ |
Location (Check all areas in which you wish to be listed.)
| __ |
|
Upper Cape
(Bourne, Falmouth, Mashpee, Sandwich) |
|
__ |
|
Just off Cape
(Hull to Westport) |
| __ |
|
Mid Cape
(Barnstable, Hyannis, Yarmouth,
Dennis) |
|
__ |
|
Martha's Vineyard |
| __ |
|
Lower Cape
(Brewster, Harwich, Chatham, Orleans) |
|
__ |
|
Nantucket |
| __ |
|
Outer Cape
(Eastham, Wellfleet, Truro, Provincetown) |
Services provided (Check all for which you wish to be listed.)
 |
|
|
| __
Appliance repair
|
__
Automotive
|
__
Carpet cleaners
|
| __
Commercial Mortgages
|
__
Construction/remodelling
|
__
Electricians
|
| __
Financial/banks
|
__
Garbage and rubbish removal
|
__
Heating & Cooling
|
| __
Help with web pages
|
__
Home improvements
|
__
Home maintenance/repairs/locksmith
|
| __
House cleaning
|
__
Insurance
|
__
Interior design
|
| __
Landscaping/lawn care
|
__
Linen rentals
(sheets, towels)
|
__
Other
|
| __
Other rentals
(cribs, party supplies…)
|
__
Painting
|
__
Painting
|
| __
Personal services
(caterers, parties…)
|
__
Plumbers
|
__
Property management/caretakers
|
| __
Retail/appliances
|
__
Window washers
|
| __ Other (please specify):
______________________________________________________________________ |
Contact information
| Contact person's name: |
|
_______________________________________________ |
| Billing address: |
|
_______________________________________________ |
| Billing city, zip:
|
|
_______________________________________________ |
| Street address: |
|
_______________________________________________
(if different from billing; for location of business) |
| Phone:
|
|
_____________________ |
Fax:
|
|
_____________________ |
| E-mail:
|
|
_______________________________________________ |
| Website link:
|
|
_______________________________________________ |
Contact by (check all you would like):
Phone | Address | email address
|
website
Cost:
 |
|
|
| Base price for 1 ad: 1 year at $175, or 6 months at $100: |
$ |
_______ |
| Total number of geographic locations selected above: |
|
______ |
| Total number of service categories selected above: |
|
______ |
| Number of additional ads: Multiply the prior 2 numbers
together, and subtract 1 for the first ad, which is included in the base
price. You pay by the number of ads you request. |
|
______ |
| Cost per additional ad: $5. |
$ |
_______ |
| Additional ad cost. Multiply the Number of additional ads
by Cost per additional ad. |
$ |
_______ |
| TOTAL Due (Base price, plus additional ad
cost): |
$ |
_______ |
Credit card number:_________________________. Expiration (mm/yy): ___/___.
Please check here to learn more about other forms of reaching second homeowners
on WeNeedaVacation.com.
FAX to: WeNeedaVacation.com, Brewster, MA at (419) 728-5484.
Questions or special needs? Please call Becky Fischer at (508) 785-5484.
