Product Mart Worksheet

Please fill out and submit the following form. We will also need your product illustration/photo sent electronically or by overnight delivery. Detailed instructions will appear once the form has been submitted. Thank you.

*Phone, fax, and Web address must be included in the description box below to appear in the ad
Issue Date:
Headline (5 words max):
Describe your product - don't forget your phone, fax, and website (55 to 60 words):
Company:
Contact person:
Address:
City: State: Zip Code:
Phone:
E-mail (for submission confirmation):
Web site: