rolling out UrbanStyle Weekly v.2.0

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You've made a wise choice advertising with rolling out.
Please complete the following information below and we will be happy to assist you.

Advertising:

Name•:
Company:
Address:
City•:
State•:
Zip•:
Phone•:
Fax:
Your email address•:
Your classification•:	Individual Entrepreneur Ad Agency

Who is your target audience? Check all that apply
Gender:	Male Female
Marital Status:	Single Married Divorced Widowed
Children:	None 1 Child 2 Children 3 Children 4+ Children
Education:	High School College Advanced Degree
Income:	Under 35K 35-49K 50-74K 75K+
Additional Information on your target market:
What is your product or service?
Are you interested in promotional opportunities?	yes no
Are you interested in a print advertising package or print/web advertising package?	Print Only Print/Web Web Only

• Denotes a Required Field

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