
Charges are:
To order ON-LINE for payment by VISA or MASTERCARD, CLICK HERE to transfer to a secure site for ordering. ad will be published in the next monthly edition of The Piney Woods Journal.
To order by TELEPHONE for payment by VISA or MASTERCARD, phone 318-628-8671. Ad will be published in the next monthly edition of The Piney Woods Journal.
To order by FAX, for payment by VISA or MASTERCARD, print the following form on your own printer, fill out and fax with Credit Card authorization to 318-628-8673. ad will be published in the next monthly edition of The Piney Woods Journal.
To order by MAIL print the following form on your own printer, fill out and mail with cash, check, or credit card authorization.
Mail to
Piney Woods Journal
P.O. Box 190
Dodson LA 71422
or FAX to 318-628-8673
NAME__________________________________________________________________________
ADDRESS _______________________________________________________________________
CITY __________________________________________STATE___ ZIP_____________________
PHONE ________________ E-MAIL _________________________________________________
PAYMENT Cash or Check $________________ VISA ___
MC ___
CARD NO._____________________________________________
NAME ON CARD
___________________________________________________________________
EXP. MO____ YR____
AMOUNT AUTHORIZED $ ______________.
PUBLISH AD No.of Months ____ Starting _______
MESSAGE: ____________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
Include your phone and/or mail address in ad so buyers may contact you. The Journal will not accept "blind" ads for referral.
ORDERED BY (Signature)
_________________________________________________________
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