Park Record

This form is to place an ad in print and online or
to place an ad online only go to

     Park Record Display
     Real Estate Weekly
     Real Estate Network

Park Record

First Name:   Last Name:  
Mailing Address:   City:  
Phone Number:   Email:  
Are you a new Customer? 

Ad Category:

Ad Text:
(4 line minimum)
Publish Dates:
<June 2016>
0 Days Selected
All print ads appear online at no charge for the same duration

Color Options:
No Border No Background
Red Border Red Background
Green Border Green Background
Yellow Border Yellow Background

Would you like to include an online photo? 
If "Yes" please email to Please include your first and last name.

Total: $_______
Please be advised that if you are a repeat customer and receive a discount rate, the above may not apply. You will be contacted by a sales rep with the correct total shortly.

Credit Card Payment Information
First Name:
As it appears on the credit card
Last Name:
As it appears on the credit card
Card Number:  
Expiration Date:  
Card Type:       


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Contact us: Or Call (435) 649-9014