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Contact Information
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Contact Name *
Company Name *
Mailing Address *
City *
Province *
Postal Code *
Country *
Telephone *
Fax
Email *
Website (URL) *
Give us a very brief description of the product or service that you provide, and indicate which city directory you would like to place your listing in:*
If you are ordering the Silver, Gold or Platinum package you are permitted a 50 word description of your business or service in the directory.
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Listing Packages
- BRONZE
-Option 1-Option 2-Option 3- SILVER
- GOLD
- PLATINUM
Based on the listing package you choose to purchase, do you plan to place your listing in more than one section, or city directory?:*
Which section/sub-section would you choose for your listing placement?:*
If applicable, which additional section/sub-sections do you choose to place your listing in, and in which cities?:*
Corporate Logo or Banner/Tile Ads
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Would you like to list with us for 12 months and save 15%?
If you answered "No", please choose from the listing durations below:
Do you need a Corporate Logo created?
Do you need a Banner or Tile created?
Will you be placing a Banner/Tile ad in conjunction with a paid listing?
Will you be placing a Banner/Tile ad only?
Once you submit this form, your listing submission will be posted to our online order system. A Special Kidz representative will be in touch, shortly, to confirm the details of your order and to provide you with a quote.
Thank you for placing an advertising order with Special Kidz!
We now accept credit card and direct debit payments via PayPal!
