| TEXAS PHILATELIC ASSOCIATION Member's Free "Classified Bourse" Ad Form |
| TPA members are eligible for a free 30-word "Classified Bourse" advertisement in The Texas Philatelist for two issues and on our website for four months once every calendar year. Name, address, e-mail, fax and phone number do NOT count towards the 30 words. To submit your advertisement, provide the information below. Fields with headers in red must be completed to send this form. |
| First Name | M.I. | Last Name | * () - |
| Address | Apt./Suite # | () - |
| City | State | ZIP/Postcode | * Phone number is required! | |
| County/Province * | Country * |
| Phone * 011 + - - | * Information in these blocks necessary ONLY for foreign members. |
Fields below are provided to enter your 30 word advertisement. Enter only one word in each field. You may enter the word "same"
in the fields for "Name to appear in advertisement" and "Address, e-mail, phone, etc." if you wish the same data to be used as
was entered at the top of this form.
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| (6) | (7) | (8) | (9) | (10) |
| (11) | (12) | (13) | (14) | (15) |
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| (21) | (22) | (23) | (24) | (25) |
| (26) | (27) | (28) | (29) | (30) |
| Name to appear in advertisement (required) | ||||
| Address, e-mail, phone, etc. (at least one required) | ||||
| In checking this box, I acknowledge that my advertisement will be published on a space available basis and hereby release the Texas Philatelic Association from any and all liability for errors and omissions in said advertisement, or failure to publish same. |
| If everything is correct, click the "Submit Form" button: |