Shop Picayune Advertising Request Form
Return to ShopPicayune.com

Please provide the following  information and we will promptly contact you.
Fields marked with an asterisk* are required.

*Contact Person
*Business Name
*Street Address
Address (cont.)
*City
*State/Province
*Zip/Postal Code
*Work Phone
Cell Phone
Beeper
FAX
E-mail
URL

Bold Listing Info:  Limit each line to 30 Characters

Select any of the following options that apply:

FREE Listing - I would like a Free Listing of my Business Name, Address, Phone Number only.

Deluxe Listing - I would like a Deluxe Listing of my Business Name, Address, Phone Number, Web Address, and E-mail Address with a three line descriptive listing in Boxed/Bolded Print for a fee of $60 per year - $85.00  w/picture or graphic.

Category Banner Ad - I would like a Category Banner Ad on my category page for a fee of $15 - 3 month minimum required - 10% discount for 1 year contract. 

Front Page Banner Ad - I would like a Home Page Banner Ad for a fee of $100 per month - 3 month minimum - 10% discount for 1 year contract. 

Front Page Tile Ad - I would like a Front Page Tile Ad for a fee of $25 per month - 3 month minimum - 10% discount for 1 year contract.. 

Premier Listing - I would like a one year Premier Listing that includes a Deluxe Listing for $85 and a One-Page Web Presence or Restaurant Menu at $150.00 - $175.00 at www.ShopPicayune.com/your_company_name. E-mail forwarding from your_company_name@ShopPicayune.com  to your current email address can be included at no charge.  Quarterly updates of contact information can be provided. 

All ads are payable in advance.  A FREE Front Page Tile Ad will be given for 3 months to all customers placing a one-year Premier Listing.

Requested URL: www.ShopPicayune.com/

Additional Notes: