Advertising Request Form

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General Business Ad Request Form

This Ad Request Form is meant for Escort Agencies, Massage Parlours, Strip Clubs, Adult Video Stores and any other similar type business.
If you are an individual provider, please use the Individual Provider form.

Please allow 48 hours after you submit this form for your request to be processed.
A sample ad will be created and a link will be sent to you to proof read and approve.
Further details regarding ad information, photos and payment will be discussed at that time.

Please continue to the form below.....
You will be contacted asap regarding your new ad.

** = Required fields - All other info is completely optional

** Category:
Contact Info
** Your name:
** Contact E-Mail:
(Required)
** Please Confirm
E-Mail:
(Re-Enter as above to ensure accuracy)
   
Ad Info
** Business Name:
(Name that will be displayed in ad)
Business E-Mail:
(E-Mail that will be displayed in ad - Optional)
Phone:
(Number that will be displayed in ad)
Website URL:
(If applicable)
Street Address:
(Optional)
** City:
Ontario (Location required for ad placement)
Postal Code:
(Optional)
Prices if applicable:



Hours Serviced:



Services Provided:



Questions or Comments
to the webmaster
regarding this ad:
Please allow 48 hours after you submit this form for your request to be processed.
Your ad will be created and a link will be sent to you to proof read and approve your ad.
Further details regarding ad information, photos and payment will be discussed at that time.
Ads must be prepayed before being added to Ontario-Erotic.