Hometown Explorer Submission Form

Submission Deadline: November 2, 2018

Proof Approval Deadline: November 16, 2018

Publication Date: January 1, 2019

Business Name *

Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country

Business E-mail

Business Contact Name *

First Name Last Name

Contact Email Address *

Contact Phone Number *

Businesss Description *

0/325

Business Phone Number *

Area Code Phone Number

Business Web Address

Coupon Offer *

0/20

Coupon Offer Description

0/70

Disclaimer

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If you have trouble attaching the file, please email the file to Kelsey.Hizelberger@TheVillages.com

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Store(s) Location

In submitting your Hometown Explorer submission form, you are agreeing to the following:

· $500 contract rate for 15 month brand exposure (paid within a month of invoice date)

· In order to be good stewards, all submission and approval deadlines will be met to avoid exclusion from the current edition of the publication. (Please see important deadlines above).

· To maintain the publication’s consistent design, all coupons will follow the same format and guidelines.

· All content is up to the discretion of the Holding Company of The Villages, Inc. and this contract agreement may be revoked at any time without written or verbal notification.