Crystal City Digital Sign Online Ad Form

Type of Ad (community group, personal or business) *

Your First Name *

Your Last Name *

Your Organization or Business Name (if applicable)

Your Phone Number

Your email *

Requested Start Date for the Ad display *

End Date for the Ad display *

Event date (if applicable)

Ad Information to be displayed (please ensure correct spelling)

If you have a picture, poster, logo or other file with info for use in the Ad, please upload them here

File Upload

File upload is limited to 20 MB pdf, doc, docx, xls, xlsx, ppt, pptx, odt, ods, odp, txt, jpg, png.

And/or enter Ad information here

Ad information to be included

Please enter any other info, special requests, etc. here

If you would like to see a copy (proof) before the Ad goes live Please check here

Payment may be made on-line by Interac e-transfer to CC Chamber at ccsign4@gmail.com

Or, by cheque made payable to CC & District Chamber of Commerce, dropped off at the Municipal office

Payment method you have selected * No payment required; my Ad is free
Interac e-transfer to the Chamber
Cheque payable to the Chamber

Signature (Initial and Last Name) *

Date submitted *

* - denotes required field