Stations Website Name (e.g. Maines Best Deals)Todays DateA.E. Name (first and last)A.E CellA.E. Email AddressBusiness Name ExactlyBusiness Phone #Business Website AddressBusiness Retail Address (street ,city, state)Describe Business (not the product)Descibe What is Being Sold in EXACTING DetailRestrictions (none leave blank)Price Before DiscountPrice After DiscountQuantity to be SoldMaximum Purchase AmountSelect Product TypePrintable (certificate numbers are sent to A.E.)Mail Out (e.g. movie tickets amiled to purchaser)Pick Up (purchaser picks up at radio station)On Sale Date and TIMEUpload Business Logo & Picture (must be .jpg file -leave blank if you want us to get from website)Drag and Drop (or) Choose FilesSUBMIT
Drag and Drop (or) Choose Files