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Contact
Name:
________________________________________________
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Address:_______________________________________________
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City:
________________________ State:________________
Zip:_____________
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(
) 1-Year
Directory Listing, 10 lines of copy, plus
address information, $300
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(
) 6-month
Directory Listing, $180.00
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(
) Add a Photo
for One Year for $45
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RV
Park and Campground Info:
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Name:
________________________________________________
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Address:_______________________________________________
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City:
________________________ State:________________
Zip:_____________
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Rate:
__________________________
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Phone:
________________________ E-mail:
_____________________________
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Website:
______________________________________
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AD
Copy to Print:
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______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
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Payment
Method: ( )
Check ( )
Money Order
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Enclose
Check or Money Order payable to Southeastern Publications.
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Credit Card Information:
(
) Visa (
) Mastercard
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Card
Number: _________________________________
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Expiration
Date: _______________________
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Name
as written on card:______________________________________
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Mail
to: RV Free Wheelin', P.O. Box 510, Acworth,
GA 30101
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