This form is for use with advertising in Homes and Land Magazine. Do not alter the layout of the form. If you need to provide additional information please use the provided comments space at the bottom.

If you are participating in an office "group" ad please DO NOT send this form directly to Homes and Land Magazine. Instead, turn it into your ad group administrator and let that person turn it into Homes and Land. Group ads need to be turned in as a group package.

NOTE: You must use a computer or word processor to fill out this form. Any form that is received in a HAND WRITTEN FASHION WILL INCUR A $35.00 (minimum) HANDWRITING FEE. This fee is subject to change with no advance notification. NO EXCEPTIONS.
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NAME:

CREDENTIALS:

COMPANY:

PHONE#(s):

EMAIL/WEB ADDRESS:

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1. Property Address w/City:


2. Photo Instructions (Select only one delete the rest):
- Homes and Land to take photo.
- Photo in will call.
- I will email or upload photo. -Note: Images from the web are unacceptable.
- No photo just text.


3. Caption (45 words or less):
This"dummy" paragraph is 45 words. If you write more we will edit your information
discretionally. We assume caption to be important information first. We cut/edit text
from the bottom of the paragraph as needed, except for price, phone and mls# which
we don't edit.
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COMMENTS: