CoJoWeb.com'd Western North Carolina Business Listing Form

**Cojoweb.com's** **Private Classifieds Form** **for Classifieds listing**
Please Note: The following form is for cojoweb.com to assist you in construction of a successful classified ad presence on the Internet. We will need to know your name etc. However, you will have the option of placing that info. in your ad. Your Name, Phone no., and Email Address will be (optional). See the examples as seen on the **Ad Rates page.**

**You must pay with the PayPal buttons for the ad to posted!**

Please fill out the form. Select the item category, fill in the exact item to be listed, options (if applicable), design (if applicable) and click send (click one time only). We'll list your ad in the appropriate section in Cojoweb.com's Western North Carolina Classifieds.
Date:
Your Name: optional in ad space	List in Ad: Yes No
Street Address:
City in Western North Carolina:
Other City:
County in Western North Carolina:
Phone: *optional in ad space*	List in Ad: Yes No
Email: *optional in ad space*	List in Ad: Yes No
Item Category:
Type Item to be listed:
Type Description of Item :
Photo Selection:
Select Option:
Additional Option for same listing:
Select Design:
Additional Design for same listing:
Additional Option for same listing:
Business URL

Please note that a website listing, or a direct link to your website or home page is an additional charge. See Ad Rates page.

We reserve the right to reject any listing which we find offensive or pornographic in nature.

Privacy Statement:

Your name, email or website address will not be sold to anyone. Just as others, we value privacy too.

Thanks,

bob@cojoweb.com (please email me if you have additional questions)