Rates and Form

Be sure your contact information is correct so your customers can contact you to make the purchase.

          

[FrontPage Save Results Component]

Name_____________________________         Date of Submission___________

Address____________________________                    Send up to three photos with Ad

City__________________State____________                     

Zip Code_____________

Phone _____-_____-_____________

E-Mail_________________________

Method of Payment  Visa/Mastercard____Check____"Don't Send Cash"

Credit Card Visa___Mastercard___ Number ______________________________________Exp____

Description of Unit

Print and send this Form with Payment to:

Pearson's Marine
P.O. Box 429
Shasta, Ca. 96087
530-246-0636