Farm or Business Name _____________________________________________

Promotional Line (35 or less characters)_______________________________________
__________________________________________________________________

Up to Three Description Lines (up to 165 characters)_____________________________
__________________________________________________________________
__________________________________________________________________

Name _____________________________ Email Address___________________

Address ___________________________________________________________

City ___________________ State_________________ Zip Code_____________

Phone Number (_____)_________________

Amount of Time Your Ad is to be Published on the WWW (please circle one):
3 Months = $20.00 6 Months = $30.00 12 Months = $50.00

Please print, fill out, and mail with payment to:
Dixieland Miniature Horse Society, Inc.
Frank McCartha
Heritage Farms
2601 Dutch Fork Road
Chapin, South Carolina 29036
Fmccartha@aol.com