If you have any feedback on how we can make our new website better please do contact us. We would like to hear from you. 

 To advertise in Muslim Yellow Pages 
You may  email or Fax this form to us.Thanks


MUSLIM BUSINESS YELLOW PAGES 
Advertisement Order Form


Free Listing Order Form 2012

BUSINESS NAME: ______________________________________________

OWNER: ______________________________________________________

STREET ADDRESS: _____________________________________________

CITY: _______________________________________ STATE:___________

 ZIP CODE:____________

TELEPHONE:______________________

FAX:______________________

E-MAIL:_______________________________

WEB SITE: _____________________________

 Please Circle Your Preference below

¼ page B/W ............ $50                                    ¼ page color........................... $100
½ page B/W ........... $100                                   ½ page color........................... $200
Full page B/W...........$200                               Full page Color ......................... $400
Business card B/W.....$25                                              Listing .........................FREE


SPECIAL INSTRUCTIONS:__________________________________________________


Advertisement Category: ___________________________________________

Ad Will be Submitted: . Camera Ready . Disk . Drawing 


Signature _________________________________ 

Please make Checks payable to: 
MASJID UL AALA
10707 W Bellfort  Houston, Tx 77099
Please Contact: 281-568-2095 
www.azeemshow.com 


METHOD OF PAYMENT: .
Check .
Credit Card
CC#: _____________________________________________
Exp. Date: ____________________
Amount Rec’d: $ _______________ AD SIZE: ________________ 
Proof: ____________________
Rec’d From: _____________________ Date: _____________ 
Rec’d by: ____________________









 


 
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