Electronic Ad Submission Form

Thank you for your interest in the Ada Home Job Center.
Please read the conditions before sending us this form.

Submission of the form is taken as acceptance of all terms and conditions.

Please provide us with the information requested below in order to generate a new classified ad in the Job Center. Do NOT include any HTML annotations other than links in your ad text. This form is for submissions only. For other issues, please contact our Webmaster.

Is this a new submission, a renewal, or an update?
New submission Renewal Update of existing ad

Listing period requested:
one month (classified) one year (standing)

Payment will be made in:
USD (U.S. Dollars) CHF (Swiss Francs)

Confirmation and invoiced receipt to be delivered by:
email fax postal mail

Contact Information (for our records):
Your Name:	(required)
Company:
Address:


City:
State/Region:
Postal Code:
Country:
Email Address:	(required)
Phone Number:	(required)
Fax Number:
URL:

Ad Title (will appear in bold typeface, max. 3 lines, 40 chars/line):

Full Ad Text (will appear in plain typeface, 40 chars/line):

Portal URL (free, optional):

Ad Price

Once you have filled out the form, please click the Confirm and Send button below to confirm that you have read and accepted the conditions, to verify that the information you have provided is correct, and to transmit your submission immediately to the Ada Home Ad Manager. Note: any submission with an invalid email address will be ignored. Thank you for your interest.

Comments and Suggestion Box:

Have you read and accepted the conditions?
If not, read them now!
By completing and sending this form, you are accepting all
Terms and Conditions of ad submissions in the Ada Home Job Center.

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Page last modified: 1997-07-12

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The Ada Job Center

Electronic Ad Submission Form