Directions: Fill out the complete form below (due to print space restrictions, please try to limit your ad copy to 50 words or less). Your ad will appear in both the Southeastern Antiquing and Collecting magazine along with the Antiquing and Collecting website. Submission deadline is one calendar week preceeding the first of each month.

Name:*
Business Name:
Position:
Mailing Address:*
Address Line 2:
City:*
State:*	Zip:*
Phone:* (No Dashes)
Fax:
E-mail Address:*
Name of Show:*
Location of Show:*
Show Dates & Times:*
Sponsor: