Please complete this form if interested in advertising in one or more of the directories.

Required fields are marked with an '*'

If you need any assitance completing this form or have any other queries regarding advertising with us please call us on (01444) 881617.

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Select the Village(s) that the advert should appear in/ against on the web page
West Sussex
	Angmering		Arundel		Ashington & Washington
	Balcombe		Bramber & Beeding		Billingshurst
	Warnham & Broadbridge Heath		Shipley & Coolham		Cowfold
	Cuckfield		Ferring		Findon
	Handcross, Pease Pottage, Slaugham & Warninglid		Hassocks & Keymer		Henfield
	Hurstpierpoint		Lindfield		Midhurst
	Petworth		Pulborough		Rudgwick
	Southwater		Steyning		Storrington
Cornwall
	Rame Peninsula

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Enter your details
* Size of advert :	Please select 1/8 page 1/4 page 1/2 page 1 page
Cover Position (colour) :	Please Select inside cover outside cover
Colour inside :	no yes
Internet advert? :	no yes
Web Link url :
* Business Name :
Registered Charity ? :	no yes
If Registered  enter Charity Number:
* Contact Name :
* Address line 1 :
Address line 2 :
* Town/City :
County :
* Post Code :
* Telephone Number :
Fax Number :
* Email :

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Any comments / notes / special instructions :

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