LISTING FORM

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

Body Shop Name:_______________________________________________________________
Contact Name:__________________________________________________________________
Address:_______________________________________________________________________
City 1:__________________________________________________________________________
City 2
:__________________________________________________________________________
City 3 :__________________________________________________________________________

State:
_______________Zip1:_______________Zip 2:_
__________________Zip 3:_____________
Phone:_________________________________________________________________________
Toll Free:
_______________________________________________________________________
Fax:___________________________________________________________________________
Web Address:
___________________________________________________________________

E-mail Address:
__________________________________________________________________

Description:
(150 characters) ______________________________________________________
________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________
Make Check Payable To:
GW Marketing
 
 Mail To: GW Marketing
Attn:Body Shop Locator
P.O. Box 446
Clay, AL 35048