CARS ON LINE PO Box 537 Menomonee Falls, WI 53052

Information Numbers: 1-800-880-5105 Fax: (262) 628 -0807 E-mail: info@carsonline.com

Internet Ad Submission Form
Fill out the form including name and address, payment information, and the description of the vehicle. Then print.
Mail in the form, payment, and picture of the vehicle. (you can run up to Four pictures, any will do but 4 x 6 size is preferred)

Name:		Phone No.
Street:		E-mail
City & State:	Zip:

I, the undersigned, authorize Cars-On-Line to publish, using the photograph's provided and advertise my vehicle or personal property (automobiles, trucks, motorcycles, boats, campers, houses, buildings, and others. I also release Cars-On-Line from all liability in the photography, production, and reproduction of any and all photographs taken of me and my property. I have read the Ad Agreement and will abide by its terms. I agree to pay in full $45.00 for a Run-Till-Sold advertisement. I agree to pay in full $65.00 for a 90-day SLIDESHOW advertisement. (There is a $10.00 additional SCANNING fee for SLIDESHOWS only.) Please charge me $10 extra per-100 extra words in my description (You may enclose a separate sheet with your description. If the description is sent to us digitally via email, the cost is only $5 per-100 extra words).

Make Checks Payable to: CARS ON LINE		Check	MasterCard Visa My Number is My expiration date is
		Money Order
		Credit Card

Date:___________________Signature:_________________________________________________________

Description of the vehicle to be advertised (you get up to 100 words to describe your vehicle)
Price of Vehicle:

Phone No E-mail
Cars On Line is a copyrighted trademark of Auto Buyer.Inc. This form was last updated 11/14/05

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