LISTING FORM

(Print This Form and Mail to Address Below)
One Time Set Up Fee of $25.00

Body Shop Name:_______________________________________________________________
Contact Name:__________________________________________________________________
Address:_______________________________________________________________________
City:__________________________________________________________________________
State:_______________Zip:_______________
Phone:_________________________________________________________________________
Fax:___________________________________________________________________________
Web Address:___________________________________________________________________
E-mail Address:__________________________________________________________________

Description: (150 characters) ______________________________________________________
________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________

Make Check Payable To:
GW Marketing, Inc.

Mail To:	GW Marketing
	Attn: Body Shop Locator
	P.O. Box 446
	Clay, AL 35048