To Print This Form Select Print From The File Menu On Your Browser.

Show a picture of the item you're selling. Rent a web page for less than 55 cents a day and place the page name along with your ad. Sample ad page.

Send us your color or B/W picture and we'll do the rest. If you wish your picture to be sent back, enclose a self-addressed stamped envelope.

Monthly rate is $14.95. For longer rates  Email or call (305) 332-9052.

NAME: ___________________________________________________________ ( Please Print)

ADDRESS: ________________________________________________________

CITY: _______________________ STATE: ________ ZIP CODE: ____________

PHONE: (         ) _____-_______ FAX: (         ) _____-________

E-MAIL ADDRESS: _______________________________

PAGE  NAME:  www.mannygeller.com/_____________

DATE YOU WISH YOUR PAGE TO BE POSTED: ____/____/____  (5-DAY NOTICE REQUIRED) You will be notified of the page name.

WORDING TO BE USED IN THE AD

ENCLOSE YOUR CHECK OR MONEY ORDER PAYABLE TO: Manny Geller   CURRENCIES IN US DOLLARS.