Ad Submission Form NEW VOLUME NUMBER
NEW PAGE NUMBER
NEW ISSUE NUMBER
Use this form to submit exact repeat ads or ads with minor changes to NCI. See back of this form for instructions.
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HistoryInformation CHECK IF EXACT REPEAT
34301.14.10.072.p2.PDF 34301.14.10.072:34301.v142okbrk.ad
8/31/11
3:55 PM
Page 2
NCI USE
❏ Repeat Visual ❏ Repeat Info M.I./Date________________
Minor Changes Change 1:_______________________________ ____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________
Relaxed Country Lifestyle
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Call About Our Current Specials
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Community!
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