Emporium Catalog Electronic Submission Form

Directions: Fill out the complete form below (due to print space restrictions, please try to limit your ad copy to 25 words or less). After submitting your ad, press the "E-mail Your Picture" button to start your e-mail program. Include your digitized picture as an attachment and send. If your picture is not in a digital format (.eps, .tif, .jpg, etc.) and you must mail it in, please use the printable mail-in form instead of this one.

Price: $14.50 per issue. Your ad will appear in both the Southeastern Antiquing and Collecting magazine along with the Antiquing and Collecting website. All ad submissions are payable prior to publication by check, money order or credit card. Check or money order payments for all electronic submissions must be recieved no later than 5 business days after ad submission.



(* Required Fields)
Name:*
Business Name:
Position:
Mailing Address:*
Address Line 2:
City:*
State:* Zip:*
Phone:*
(No Dashes)

Fax:
E-mail Address:*
Credit Card:
(Click one only)
Visa
MasterCard
Credit Card#:
Exp. Date:
Ad Heading:*
Seen in BOLD face

Type in your ad copy below. Remember 25 words or less.*

Months Desired
For Publication
January
February
March
April
May
June
July
August
September
October
November
December

Calculate your total by first entering number of months checked here à  
Now click this button à
Total payment due is: $





Return To Emporium Catalog

©1998 Southeastern Publishing