RADIO STATION'S ECOMMERCE URL ADDRESS (e.g. mainesbestdeals.com) *

Todays Date *

A.E. Name (first and last) *

A.E Cell (phone number must be 10 digits) *

A.E. Email Address *

Name of Business Being Sold *

Business Phone # *

Business Website Address *

Business Retail Address (street ,city, state, zip code) *

Describe Business (not the product) *

Product Description of What is Being Sold *

Restrictions (none leave blank)

Price Before Discount *

Price After Discount *

Quantity to be Sold *

Maximum Purchase Amount (max number of certificates you can purchase/leave blank if no max amount)

Select Product Type *Printable (certificate numbers are sent to A.E.)Mail Out (e.g. movie tickets mailed to purchaser)Pick Up (purchaser picks up at radio station)

On Sale Date and TIME (must be date & time not a.s.a.p) *

Additional Information (leave blank if none)

Upload Business Logo & Picture (must be .jpg file -leave blank if you want us to get from website)

Drag and Drop (or) Choose Files

SUBMIT

New Businesss

New Businesss

New Businesss