The Massage Directory Ad Submit Form

AD SUBMISSION FORM

The Massage Directory Main Page | Rates | Masseuses | Masseurs

Note: This submission form is for text only listings. If you wish to run a full page photo ad, please send e-mail to sales@cd-factory.com or call us at the number listed below.

Required Information

Listed Name:

City:

State:

Select:

Optional Information

Age:

Ethnicity:

Header (can be up to 60 characters long and will appear bold at the top of your description:

Description Lines (up to 5 lines of 65 characters each:

BILLING INFORMATION

(note: this information will NOT appear anywhere on the site)

ALL INFORMATION MUST BE FILLED IN

First Name

Last Name

INTERNET email Address

Postal Address
Apt #

Phone Number
--

Length of Contract

Credit Card Type

Credit Card Number

Credit Card Expiration Date (mm/yy)
/

How do you want to place your order?

There are two basic ways for you to place your order. You may simply use the SUBMIT THE ORDER button below to electronically send us your order information. If you prefer simply print this form and FAX it to us or CALL to place the order. We will verify all orders by sending you confirmation e-mail with the total amount of your order.

Home | E-Mail: sales@cd-factory.com

Fax: (253) 498-8268

Phone: (626) 446-3997