Name of Business ______________________________________________________
Business address _______________________________________________________
_______________________________________________________________________
Mailing address if different_______________________________________________
_______________________________________________________________________
Please include a Business Card for your ad or we can create one for you .
If renewing and you like your ad from last year just write
Renew_________________________________________
Phone #'s ______________________________________________________________
Email Address (Print and use correct case only) _____________________________
_______________________________________________________________________
URL ( website address) __________________________________________________
Mail to:
Ridge and Valley Renegades
PO Box 209 Richland Center
Wisconsin 53581