Broad Ripple Gazette Classified Order Form


Billing Information
First Name * Last Name *

Organization Attention

Street Address *

City * State * Zip Code *
Telephone * Email (Required to receive notification via email)
* required information

Payment Method
Mailing a check PayPal Credit Card (Fill in below or call 317-508-6634)
Credit Card information
Credit Card Number
Exp. date MM/YY
3-digit code from back of card
Credit card billing street address
Credit card billing Zip Code
Visa   | MasterCard   | Discover   | American Express

Type any comments about your ad here:

Select Category
 (type new category here if you selected OTHER)

Classified ad rate is 35 cents per word.
 Enter your classified ad here, one word per box.
 Use as many boxes as necessary, then hit continue to check your ad.
Phone numbers including area codes go in one word box.
Put street number in one word box (Example: 810),
and the rest of the address in another word box (Example: Broad Ripple Avenue).
Do not use quotes in the boxes. If you need quotes, please describe in the comments box.
You may use other punctuation in the boxes, like commas, hyphens, periods.














Number of issues to run (If other, please specify in comment area above)

Start with the next available issue? Yes No (If no, please specify in comment area above)

Please click the CONTINUE button to view final invoice page.
Your order will not be placed until you have approved the final invoice page.