- Church Name *
- Name *FirstLast
- Business Name *
- Business Address Used in Ad *Street AddressAddress Line 2CityState / Province / RegionZip / Postal CodeCountry
- Business Phone *(###)-###-####
- Cell Phone *(###)-###-####
- Email *
- Website Address *
- Search Words (75 Characters) *
- Ad Type *
- Describe your Business *
- Describe your Typical Customer *
- Describe Images you want included in your Ad *
- Text to be included (Total Words less than 75 for Full Page, 35 for 1/2 Page, 10 for 1/4 Page *
- Acknowledgment
- Please Check *I understand that my ad design is complimentary. Excessive editing may result in additional fees.
- Please Check *I have the authorization and rights to use all of the items I am providing to Gdirect, including but not limited to, company names, logos, artwork, photos, and text. I agree to assume full responsibility for the use of all the items provided and will hold harmless Gdirect and the church from any damages that may result.
- Please Check *I will conduct my Business in a God Honoring Manner
- Logo and/or ArtworkPlease check if you will be submitting a logo and/or artwork to the email address below